阶梯式心理干预对乳腺癌术后化疗患者负性情绪的影响

Effect of stepped psychological intervention on negative emotion in patients with breast cancer after chemotherapy

目的探讨阶梯式心理干预对乳腺癌术后化疗患者负性情绪的影响。方法将120例乳腺癌术后化疗患者按照干预方式不同分为观察组(60例)和对照组(60例),对照组患者接受常规干预,观察组患者在对照组基础上给予阶梯式心理干预,比较干预前、干预后两组患者负性情绪[抑郁自评量表(SDS)、焦虑自评量表(SAS)]、睡眠质量[匹兹堡睡眠质量指数(PSQI)]和生活质量[生命质量测定量表(QLQ-C30)]。结果干预后1、3个月,两组患者SDS、SAS评分均较干预前明显降低,且观察组患者SDS、SAS评分均明显低于对照组,差异均有统计学意义(P﹤0.01)。干预后,两组患者入睡时间、睡眠时间、睡眠障碍、睡眠质量、睡眠效率评分均较干预前降低,且观察组患者入睡时间、睡眠时间、睡眠障碍、睡眠质量、睡眠效率评分均低于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者认知功能、社会功能、角色功能、躯体功能、情绪功能评分均较干预前升高,且观察组患者认知功能、社会功能、角色功能、躯体功能、情绪功能评分均高于对照组,差异均有统计学意义(P﹤0.05)。结论给予乳腺癌术后化疗患者阶梯式心理干预可有效缓解患者焦虑、抑郁情绪,改善睡眠质量,同时可有效提高生活质量。

Objective To investigate the effect of stepped psychological intervention on negative emotion in patients with postoperative chemotherapy for breast cancer.Method A total of 120 breast cancer patients undergoing chemotherapy after surgery were divided into observation group(60 cases)and control group(60 cases)according to different intervention methods.The patients in the control group received the routine intervention,and the patients in the observation group were given stepped psychological intervention based on the control group’s regimen.The negative emotion[selfrating depression scale(SDS),self-rating anxiety scale(SAS)],sleep quality[Pittsburgh sleep quality index(PSQI)]and quality of life[quality of life questionnaire core 30(QLQ-C30)]were compared between the two groups before and after the intervention.Result After 1 and 3 months of intervention,the SDS and SAS scores of the two groups were significantly lower than those before the intervention,and the scores of the observation group were significantly lower than those of the control group,and the differences were statistically significant(P<0.01).After the intervention,the scores of sleep onset time,sleep time,sleep disorder,sleep quality,and sleep efficiency of the two groups of patients were lower than those before the intervention,and these scores of the observation group were lower than those of the control group,the differences were statistically significant(P<0.05).After the intervention,the scores of cognitive function,social function,role function,physical function,and emotional function of the two groups of patients were all higher than those before the intervention,and the these scores of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusion Stepped psychological intervention for breast cancer patients with postoperative chemotherapy could effectively relieve anxiety and depression.The therapy could improve the sleep quality,and can effectively improve quality of life.