心理干预对乳腺癌患者围手术期心理状况及自我效能的影响

目的探讨心理干预改善围手术期乳腺癌患者心理状况及提高自我效能的作用。方法将37例乳腺癌患者随机分为常规护理组和心理支持组，常规护理组采取一般护理与健康教育；心理支持组对患者进行心理行为干预与自我调节训练，并分别在入院后、手术后使用汉密顿焦虑量表（HAMA）、汉密顿抑郁量表（HAMD）、一般自我效能感量表（GSES）对患者进行评估。结果常规护理组与心理支持组干预前后HAMA、HAMD评分比较，差异有统计学意义（P〈0．01）；手术后心理支持组GSES评分（32．78±5．77），高于常规护理组的（26．52±5．27），两组比较，差异有统计学意义（P〈0．05）。结论心理行为干预可改善围手术期乳腺癌患者焦虑、抑郁心理，提高患者自我效能。

Impact of psychological behavior interventions on psychologic status and self-efficacy of perioperative people with breast cancer

Objective To discuss the impact of psychological behavior interventions on psychologic status and self-efficacy of perioporafive people with breast cancer. Methods 37 patients with breast cancer were randomly divided into conventional care group and psychological support group. General duty nursing and health education were adopted to conventional care group. Both psychological support interventions and self-regulation training were adopted to psychological support group. Both groups were evaluated by Hamilton Anxiety Scale (HAMA), Hamilton Depression Rating Scale(HAMD) and General Perceived Self-Efficacy Scale (GSES) after been hospitalized and operated. Results There was significant difference in the scores of conventional care group and psychological support group evaluated by HAMA and HAMD before and after intervention(P <0.01). The score of psychological support group evaluated by GSES is higher than conventional care group(P <0.05). Conclusions Psychological behavior interventions can ameliorate psychological anxiety and depression of porioporative people with breast cancer, and can improve patients' self-efficacy.