CAJ | 학술논문

目的探讨人性化护理和合理情绪疗法在乳腺癌术后化疗患者引起焦虑和抑郁不良情绪的护理效果。方法采用方便抽样的方法，符合入选条件的干预组和对照组各20例乳腺癌术后化疗患者，干预组进行常规护理基础+个性化护理+RET，对照组仅进行常规进行护理；干预前后分别对两组进行汉密顿焦虑量表（HAMA）和汉密顿抑郁量表（HDMA）调查，以及干预后两组的住院期间住院病员对护理工作满意度调查，对结果进行分析。结果实施干预后，干预组的焦虑、抑郁发生率均明显低于对照组（均P＜0.01）；干预组患者对住院期间临床护理总满意度的比例明显高于对照组（P＜0.05）。结论人性化护理+情绪疗法可以同时改善乳腺癌术后化疗患者的焦虑、抑郁，也能提高患者住院期间的护理满意度，该方法进一步研究后可望推广应用。
목적탐토인성화호리화합리정서요법재유선암술후화료환자인기초필화억욱불량정서적호리효과。방법채용방편추양적방법，부합입선조건적간예조화대조조각20례유선암술후화료환자，간예조진행상규호리기출+개성화호리+RET，대조조부진행상규진행호리；간예전후분별대량조진행한밀돈초필량표（HAMA）화한밀돈억욱량표（HDMA）조사，이급간예후량조적주원기간주원병원대호리공작만의도조사，대결과진행분석。결과실시간예후，간예조적초필、억욱발생솔균명현저우대조조（균P＜0.01）；간예조환자대주원기간림상호리총만의도적비례명현고우대조조（P＜0.05）。결론인성화호리+정서요법가이동시개선유선암술후화료환자적초필、억욱，야능제고환자주원기간적호리만의도，해방법진일보연구후가망추엄응용。
Objective To evaluate the relieving degree of anxiety and depression of bad mood of the breast cancer patients with postoperative chemotherapy by humanized nursing and rational emotive therapy. Methods Using convenience sampling method, intervention group(20 cases) and the control group(20 cases) were selected which were all breast cancer patients with postoperative chemotherapy. The intervention group was given routine nursing,personalized care and RET,and the control group were only given routine nursing.Hamilton Anxiety Scale (HAMA ) and the Hamilton Depression Scale(HDMA) surveys and nursing job satisfaction were carried out among the patients. Results The results showed that the proportions of anxiety and depression among the intervention group were significantly lower than the control(all P values were<0.01).The proportion of the total satisfaction among the clinical nursing intervention patients during hospitalization was significantly higher than that in control group(P < 0.05). Conclusion Humanized nursing and rational emotive therapy can relieve the anxiety and depression of breast cancer patients undergoing chemotherapy and also can improve nursing satisfaction during hospitalization which could be popularized and applied needing for further studies.