CAJ | 학술논문

目的探讨心理自助教育对提高乳腺癌术后患者生活质馈的干预效果.方法将147例行乳腺癌改良根治术的患者随机分为实验组(n=76)和对照组(n=71).对照组采用常规护理和健康教育,实验组在此基础上统一由经过培训的心理专科护士进行心理自助教育.分别于术后1周和术后3个月采用欧洲癌症研究与治疗组织研制的生活质最核心量表(QLO-C30)测评其生活质量,比较两组患者干预前后生活质量的差异.结果经心理自助教育后,实验组患者总生活质量的评分从(58.67±22.82)分上升至(74.78±17.49)分;对照组患者随着病程的延长,总生活质量的评分从(55.25±19.71)分下降至(47.07±22.21)分,差异均有统计学意义(P<0.05).结论心理自助教育可以提高乳腺癌术后患者生活质量.
목적 탐토심리자조교육대제고유선암술후환자생활질궤적간예효과.방법 장147례행유선암개량근치술적환자수궤분위실험조(n=76)화대조조(n=71).대조조채용상규호리화건강교육,실험조재차기출상통일유경과배훈적심리전과호사진행심리자조교육.분별우술후1주화술후3개월채용구주암증연구여치료조직연제적생활질최핵심량표(QLO-C30)측평기생활질량,비교량조환자간예전후생활질량적차이.결과 경심리자조교육후,실험조환자총생활질량적평분종(58.67±22.82)분상승지(74.78±17.49)분;대조조환자수착병정적연장,총생활질량적평분종(55.25±19.71)분하강지(47.07±22.21)분,차이균유통계학의의(P<0.05).결론 심리자조교육가이제고유선암술후환자생활질량.
Objective To investigate effects of the mental self-help education intervention on the quality of life (QOL) after breast cancer surgery.Methods One hundred and forty-seven patients planed to be modified radical mastectomy for breast cancer were divided into 76 cases of the experimental group and 71 cases of the control group using a random number table.The QOL of those patients were evaluated with Chinese version of the European organization for research and treatment for patients of cancer (EORTC QLQ-C30) when one week and three month after surgery.The patients in control group received conventional care and health education while the patients in experimental group received mental self-help education by the trained psychological specialist nurses.The changes of QOL before and after interventions were compared between two groups.Results After the mental self-education, the scores of QOL in the experimental group were significantly higher than before the intervention and higher than the control group (P < 0.05 ).Conclusions Mental self-education can improve the quality of life of patients after breast cancer surgery.