心理干预对乳腺癌根治术后焦虑抑郁情绪及生活质量的影响

Effect of psychological intervention on anxiety and depression and quality of life for patients with breast cancer root governing skill

目的:观察探讨心理干预对乳腺癌患者术后焦虑抑郁情绪及生活质量的影响。方法:选取2015年11月-2017年10月在我院行乳腺癌根治术的患者140例,根据干预方式不同分为观察组和对照组,每组70例,给予对照组常规治疗干预,观察组在对照组基础上实施心理康复干预,比较干预前后两组患者汉密尔顿焦虑量表评分及汉密尔顿抑郁量表评分情况和生活质量评分情况。结果:干预后,观察组患者汉密尔顿焦虑量表评分(HAMA)明显优于对照组,差异具有统计学意义(t=5.654,P<0.05);观察组患者汉密尔顿抑郁量表评分(HAMD)明显优于对照组,差异具有统计学意义(t=4.314,P<0.05);干预后,观察组患者生理功能、精神状态、社会功能、一般健康评分明显高于对照组,差异具有统计学意义(t=6.453,6.504,13.720,11.690;P<0.05)。结论:心理干预可缓解乳腺癌根治术患者焦虑、抑郁等负面情绪,有利于提高她们的生活质量。

Objective:To analyze the effect of psychological intervention on anxiety and depression and quality of life for patients with breast cancer root governing skill.Methods:A total of 140 patients with breast cancer root governing skill from our hospital in Nov.2015 to Oct.2017 were divided into observation group and control group according to the different nursing measures,with 70 cases in each group,the control group was given routine nursing care,the observation group was given psychological intervention.We compared the scores of Hamilton anxiety scale(HAMA)and Hamilton depression scale(HAMD)and life quality score of the two groups before and after intervention.Results:After intervention,the Hamilton anxiety scale score(HAMA)of the observation group was significantly better than that of the control group,and the difference was statistically significant(t=5.654,P<0.05).The Hamilton depression scale score(HAMD)in the observation group was significantly better than the control group,with statistically significant difference(t=4.314,P<0.05).After the intervention,the physiological function,mental status,social function and general health scored significantly higher in the observation group than that in the control group,the difference were statistically significant(t=6.453,6.504,13.720,11.690;P<0.05).Conclusion:Psychological intervention can alleviate the negative emotions such as anxiety and depression in patients with radical mastectomy,which can improve their quality of life.