心理护理干预对乳腺癌根治术患者焦虑心理及生活质量的影响

目的探讨心理护理干预对乳腺癌根治术患者焦虑心理及生活质量的影响。方法 60例乳腺癌根治术患者随机分为干预组和对照组,每组30例,对照组实施围术期常规对症护理,干预组在上述基础上侧重实施心理护理干预,比较两组的焦虑情况及生活质量各项评分的变化情况。结果干预组30例患者重度焦虑人数比例（36.7%）明显低于对照组（56.7%）,而轻度焦虑人数比例（33.3%）明显高于对照组（20.0%）,差异有统计学意义（P〈0.05）。干预组患者入院时的SAS评分与对照组比较,差异不显著,出院前1天,两组患者的SAS评分分别较入院时明显降低,且干预组出院前1天的SAS评分明显低于对照组（P〈0.05）。干预组患者和对照组患者术后1个月的各项生活质量评分均较术前显著升高,且干预组患者术后生活质量各项评分显著高于对照组（P〈0.05）。结论对乳腺癌根治术患者围术期实施有针对性的心理护理干预,有利于缓解患者的焦虑心理状态,改善患者术后的生活质量。

The impact on psychological anxiety and quality of life of psychological nursing intervention in patients undergoing radical breast cancer

Objective To investigate the impact on psychological anxiety and quality of life of psychological nursing in- tervention in patients undergoing radical breast cancer. Methods Sixty cases of radical mastectomy patients were ran- domly divided into intervention group and control group,30 patients in the control group received perioperative nursing routine symptomatic, intervention group focused on psychological nursing intervention, the anxiety conditions and qual- ity of life of the score were compared between two groups. Results The intervention group of 30 patients with severe anxiety, the proportion of patients （36.7%） was significantly lower than the control group（56.7%）, while the proportion of mild anxiety （33.3%） was significantly higher （20.0%） （P〈0.05）. SAS scores in the intervention group and the control group patients before intervention had no significant difference, 1 day before leaving hospital,the SAS score of two groups of patients were significantly lower than intervention one day,the SAS scores of intervention group were signifi- cantly lower than the control group （P〈0.05）.The quality of life scores of intervention group and the control group sig- nificantly increased patients than before the surgery, and the postoperative quality of life of patients in the intervention group was significantly higher than the control group（P〈0.05）. Conclusion The radical mastectomy for patients with pe- rioperative nursing targeted psychological interventions helps alleviate anxiety and psychological status of patients, and improves the quality of life of patients after surgery.