心理干预对乳腺癌术后生命质量的影响.docVIP

精品论文 参考文献 心理干预对乳腺癌术后生命质量的影响 庞彩兰 樊焕英 崔楚莹 原月霜 麦燕华 　　(广东省广州市番禺区新造医院 511436) 　　【摘要】目的 探讨心理干预对乳腺癌术后患者心理状态和生命质量的影响。方法 选择100例乳腺癌改良根治术患者。随机分为心理干预组和对照组各50例。对照组采用一般的治疗方法，干预组在此基础上加心理干预。试验组在常规组对症治疗的基础上给予心理干预；12周为1疗程。于入组时、12周末采用焦虑自评量表（SAS）、抑郁自评量表（SDS）、生活质量指数问卷（QL-INDEX）对2组患者进行心理状态和生命质量评定。结果 入组时两组患者SAS、SDS评分差异无统计学意义（P﹥0.05），12周末试验组与对照组SAS、SDS评分比较显著降低[分别为（29.44plusmn;8.62）分、（38.89plusmn;8.47）分；（29.96plusmn;5.04）分、（39.69plusmn;9.87）分]（P＜0.01）；12周末试验组SAS和SDS评分比入组时均显著降低[分别为（29.44plusmn;8.62）分、（39.89plusmn;8.35）分；（29.96plusmn;5.04）分、（39.99plusmn;8.95）分] （P＜0.01）。12周末生活质量总指数试验组为（9.08plusmn;1.70）分，对照组为（7 .80plusmn;3.40）分，差异有统计学意义（P﹤0.05）。结论 心理干预有助于改善乳腺癌术后患者的心理状态，提高患者的生命质量。 　　【关键词】乳腺癌 心理干预 生命质量 　　【中图分类号】R471 【文献标识码】A 【文章编号】2095-1752（2014）03-0101-02 　　Effect of psychological intervention on the quality of life of patients after breast cancer 　　Peng Cai-lan ,Fan Huan-jing ,Cui Chu-ying,et al. Department of internal neurology, panyu xinzao City Central Hospital, Guangzhou 511436, China 　　【Abstract】Objective To investigate the effect of the psychological behavior intervention on the mental status and quality of life of patients after breast cancer . Methods 100 patients after breast cancer were randomly divided into two groups: the study group (n=50) and the control group (n=50). The two groups had the same clinical routine treatments for 12 weeks as 1 course of treatment, and psychological behavior intervention was added to the study group. The self-rating anxiety scale(SAS), self-rating depressive scale(SDS) were analyzed on mental status, and the spitzerrsquo;s quality of life index(QL-INDEX) were used and investigated on two groups at the end of 12 weeks. Results There was no significant difference on the scores of SAS、SDS between the two groups before therapy（P﹥0.05）.The scores on SAS、SDS of the study group after the treatment notably dropped compared to the control group（P＜0.01）.The scores of SAS and SDS scores of the stu