心理护理干预对乳腺癌患者生活质量的影响研究

目的 探讨对乳腺癌患者着重实施心理护理干预措施对改善乳腺癌患者生活质量的影响作用.方法 选取2010年1月～2013年1月行手术治疗的乳腺癌患者60例,分为干预组和对照组,每组各30例.两组患者术后除接受常规对症支持治疗及基础护理外,干预组着重接受系统的心理护理干预,比较两组患者干预前后SCL-90量表各项评分情况及两组患者生活质量QLQ-C30量表的各项评分.结果 ①干预前,干预组患者躯体化、强迫症状、人际关系敏感、抑郁、焦虑、敌对、恐怖、偏执、精神病性、总分分值分别与对照组比较,差异无统计学意义（P＞ 0.05）.干预6周后,干预组和对照组上述各项分值均较干预前降低,且干预组低于对照组,差异均有统计学意义（P＜0.05）.②干预前两组患者的各项生活质量评分比较,差异无统计学意义（P＞0.05）.干预后,干预组功能量表各项评分明显高于对照组,差异有统计学意义（P＜0.05）;而症状量表各项评分明显低于对照组,差异有统计学意义（P＜0.05）；单项测量各项评分也明显低于对照组,差异有统计学意义（P＜0.05）；干预组总体生活质量评分明显高于对照组,差异有统计学意义（P＜ 0.05）.结论 对乳腺癌患者着重实施心理护理干预措施,可以改善患者焦虑、抑郁等负性心理状态,提高患者的生活质量,有利于促进患者疾病的恢复.

Psychological nursing intervention on quality of life in patients with breast cancer

Objective To investigate the effects of psychological care interventions to improve the quality of life in pa- tients with breast cancer. Methods 60 cases with breast cancer from January 2010 to January 2013 were selected and divided into intervention group and control group with 30 cases in each group. Conventional support treatment and ba- sic care were used in the two groups, psychological nursing intervention was used in intervention group; scores of SCL-90 in the two groups after the intervention were compared; QLQ-C30 scores n the two groups after the interven- tion were compared. Results （1）The differences of scores of somzatization, obsessive-compulsive symptom, sensitive of interpersonal relationship, depression, anxiety, hostility, terror, crankiness, psychoticism, total points between the two groups before the intervention were not statistically significant （P 〉 0.05）. The scores of above-mentioned score in the intervention group and control group 6 weeks after the intervention were lower than those before the intervention, the scores of intervention group were lower than those of control group, the differences were statistically significant （P 〈 0.05）. （2）The differences of scores of life quality in the two groups before the intervention was not statistically significant （P 〉 0.05）. After the intervention, the scores of function scale in intervention group w~re higher than those in control group, the differences were statistically significant （P 〈 0.05）; the symptom score in intervention group were lower than those in control group, the differences were statistically significant （P 〈 0.05）; single measurement score in intervention group were lower than those in control group, the differences were statistically significant （P 〈 0.05）; the overall quality of life score in intervention group were higher than those in control group, the differences were statistically significant （P 〈 0.05）. Conclusion The implementation psychological care interventions in breast cancer patients can improve the patients＂ anxiety, depression and other negative mental state, improve the patients＂ quality of life, promote the recovery of the patient＇s illness.