CAJ | 학술논문

目的：探讨心理干预对乳腺癌术后患者心理状态和生命质量的影响。方法选择100例乳腺癌改良根治术患者。随机分为心理干预组和对照组各50例。对照组采用一般的治疗方法，干预组在此基础上加心理干预。试验组在常规组对症治疗的基础上给予心理干预；12周为1疗程。于入组时、12周末采用焦虑自评量表（SAS）、抑郁自评量表（SDS）、生活质量指数问卷（QL-INDEX）对2组患者进行心理状态和生命质量评定。结果入组时两组患者SAS、SDS评分差异无统计学意义（P>0.05），12周末试验组与对照组SAS、SDS评分比较显著降低[分别为（29.44±8.62）分、（38.89±8.47）分；（29.96±5.04）分、（39.69±9.87）分]（P＜0.01）；12周末试验组SAS和SDS评分比入组时均显著降低[分别为（29.44±8.62）分、（39.89±8.35）分；（29.96±5.04）分、（39.99±8.95）分]（P＜0.01）。12周末生活质量总指数试验组为（9.08±1.70）分，对照组为（7.80±3.40）分，差异有统计学意义（P<0.05）。结论心理干预有助于改善乳腺癌术后患者的心理状态，提高患者的生命质量。
목적：탐토심리간예대유선암술후환자심리상태화생명질량적영향。방법선택100례유선암개량근치술환자。수궤분위심리간예조화대조조각50례。대조조채용일반적치료방법，간예조재차기출상가심리간예。시험조재상규조대증치료적기출상급여심리간예；12주위1료정。우입조시、12주말채용초필자평량표（SAS）、억욱자평량표（SDS）、생활질량지수문권（QL-INDEX）대2조환자진행심리상태화생명질량평정。결과입조시량조환자SAS、SDS평분차이무통계학의의（P>0.05），12주말시험조여대조조SAS、SDS평분비교현저강저[분별위（29.44±8.62）분、（38.89±8.47）분；（29.96±5.04）분、（39.69±9.87）분]（P＜0.01）；12주말시험조SAS화SDS평분비입조시균현저강저[분별위（29.44±8.62）분、（39.89±8.35）분；（29.96±5.04）분、（39.99±8.95）분]（P＜0.01）。12주말생활질량총지수시험조위（9.08±1.70）분，대조조위（7.80±3.40）분，차이유통계학의의（P<0.05）。결론심리간예유조우개선유선암술후환자적심리상태，제고환자적생명질량。
Objective To investigate the effect of the psychological behavior intervention on the mental status and quality of life of patients after breast cancer . Methods 100 patients after breast cancer were randomly divided into two groups: the study group (n=50) and the control group (n=50). The two groups had the same clinical routine treatments for 12 weeks as 1 course of treatment, and psychological behavior intervention was added to the study group. The self-rating anxiety scale(SAS), self-rating depressive scale(SDS) were analyzed on mental status, and the spitzer’s quality of life index(QL-INDEX) were used and investigated on two groups at the end of 12 weeks. Results There was no significant difference on the scores of SAS、SDS between the two groups before therapy(P>0.05).The scores on SAS、SDS of the study group after the treatment notably dropped compared to the control group (P<0.01).The scores of SAS and SDS scores of the study group after the treatment notably dropped(P<0.01). The difference of the scores on group index of quality of life between the study group and the control group had statistical significance (P<0.05). Conclusion Psychological behavior intervention plays an important role in the treatment of patient after breast cancer to improve their mental status and quality of life.