治疗性沟通系统对乳腺癌患者围手术期焦虑抑郁情绪的影响

目的探讨治疗性沟通对乳腺癌患者围术期焦虑抑郁情绪的影响。方法选择100例乳腺癌手术患者,随机分为对照组和观察组,每组各50例。对照组给予一般的健康教育和指导,观察组在此基础上依据治疗性沟通系统中的交际性沟通、评估性沟通、治疗性沟通3方面,分阶段、分主次进行护理干预。采用焦虑自评量表和抑郁自评量表评价2组患者干预前后的焦虑和抑郁状况。结果观察组干预前无焦虑、轻度焦虑、中度焦虑、重度焦虑的例数分别为0、11、17、22例,对照组分别为0、10、17、23例,2组比较差异无统计学意义（Z=1.46,P〉0.05）;干预后观察组分别为15、18、10、7例,对照组分别为0、15、21、14例,2组比较差异具有统计学意义（Z=-2.03,P〈0.05）。观察组干预前无抑郁、轻度抑郁、中度抑郁、重度抑郁的例数分别为0、10、18、22例,对照组分别为0、9、19、22例,2组比较差异无统计学意义（Z=1.43,P〉0.05）;干预后观察组分别为14、17、10、9例,对照组分别为0、15、20、15例,2组比较差异有统计学意义（Z=-1.99,P〈0.05）。结论乳腺癌患者围术期焦虑、抑郁等负性情绪明显,治疗性沟通系统能有效降低乳腺癌患者围手术期的焦虑和抑郁水平。

The impact of therapeutic communication system on the anxiety and depression situation of perioperative patients suffering breast cancer

Objective To explore the impact of therapeutic communication system on the anxiety and depression situation of perioperative pa- tients suffering breast cancer. Methods 100 perioperative patients suffering breast cancer were elected and separated into control group and observation group randomly, each group including 50 cases. Patients in control group .were three types of communication according to the thera- peutic communication system. Use anxiety self - assessment scale and depression self rating scale to assess the anxiety and depression situation of patients suffering breast cancer. Results The number of non - anxiety, mild anxiety, moderate anxiety, severe anxiety in observation group before intervention was 0,11,17,22 for each other,while that of control group was 0,10,17,23. The number of non - anxiety, mild anxiety, moderate anxiety, severe anxiety in observation group after intervention was 15,18,10,7 for each other, while that of control group was0, i5, 21,14, and the difference were statistically significant （Z = -2. 03, P 〈 0.05 ）. The number of non - depression, mild depression, moderate depression, severe depression in observation group before intervention was 0,10,18,22 for each other, while that of control group was0,9,19, 22. The number of non -depression, mild depression, moderate depression, severe depression in observation group after intervention was 14, 17,10,9 for each other, while that of control group was0,15,20,15, and the difference were statistically significant （ Z = - 1.99, P 〈 0.05 ）. Conclusion Breast cancer patients＇ symptoms of anxiety and depression are obvious during the perioperative period, and the actions of thera- peutic communication system can help reduce the degree of anxiety and depression.