心理干预对乳腺癌患者希望水平和生活质量的影响

目的 探讨心理干预对乳腺癌患者化疗期间希望水平和生活质量的影响.方法 将95例乳腺癌患者随机分为干预组和对照组,对照组接受常规的治疗和护理,干预组在此基础上接受为期8周的心理干预,以Herth希望量表(HHI)和欧洲肿瘤患者生存质量核心问卷(QLQ-C30)为指标,评价心理干预对乳腺癌患者希望水平和生活质量的影响.结果 心理干预后干预组希望总分及其3因子分[分别为(40.43±4.25)分,(13.28±1.61)分,(13.62±1.70)分,(13.53±1.52)分]高于对照组[分别为(37.82±4.49)分,(12.29±1.89)分,(12.90±1.67)分,(12.63±1.51)分],差异具有显著性(P＜0.05),干预组的整体生活质量、躯体功能和角色功能[分别为(82.27±15.11)分,(75.89±12.24)分,(72.34±22.86)分]高于对照组[分别为(65.82±14.16)分,(68.30±16.42)分,(53.06±27.36)分],差异具有显著性(P＜0.05),干预组的疲乏、疼痛、失眠和食欲丧失[分别为(39.48±14.62)分,(25.18±16.98)分,(29.79±24.31)分,(18.44±21.77)分]低于对照组[分别为(49.43±17.58)分,(36.74±19.54)分,(46.26±28.72)分,(40.82±22.84)分],差异具有显著性(P＜0.01).结论 心理干预可以提高乳腺癌患者的希望水平和牛活质量.

The effect of psychological intervention on level of hope and quality of life in the breast cancer patients

Objective To investigate the effect of psychological intervention on level of hope and quality of life in the breast cancer patients.Methods Ninety five breast cancer patients were randomized into intervention group and control group for an eight-week observation.Herth hope index(HHI)and Quality of life core questionnaire for European tumor patients(QLQ-C30)were used to observe the effect of psychological intervention on level of hope and quality of life in the breast cancer patients.Results Hope scores in total and in three subcategories were higher in intervention group((40.43±4.25),(13.28±1.61),(13.62±1.70),(13.53±1.52))than that in control group((37.82±4.49),(12.29±1.89),(12.90±1.67),(12.63±1.51))with statistically significant differences(P＜0.05).Scores for general quality of life,body function and role function were higher in intervention group((82.27±15.11),(75.89±12.24),(72.34±22.86))than that in control group((65.82±14.16),(68.30±16.42),(53.06±27.36))with statistically significant differences(P＜0.05).Scores for fatigue,pain,insomnia and loss of appetite were lower in intervention group((39.48±14.62),(25.18±16.98),(29.79±24.31),(18.44±21.77))than that in control group((49.43±17.58),(36.74±19.54),(46.26±28.72),(40.82±22.84))with statistically significant differences(P＜0.01).Conclusion-Psychological intervention could improve the level of hope and quality of life in the breast cancer patients.