CAJ | 학술논문

目的：探讨聚焦解决模式护理干预对改善乳腺癌患者围手术期焦虑抑郁的效果。方法选择某院乳腺癌围手术期患者120例，按照随机数字表法分为对照组和观察组各60例。对照组按照常规护理进行干预，观察组在此基础上依据聚焦解决模式5个步骤进行干预。采用焦虑自评量表（ SAS）、抑郁自评量表（ SDS）进行评价。结果干预前两组患者的SAS、SDS评分比较差异无统计学意义（P＞0．05）；实施聚焦解决模式护理干预后观察组的SAS、SDS评分分别为（41．64±6．32），（42．61±6．40）分，分别低于对照组的（57．07±7．32），（59．42±7．49）分，差异有统计学意义（t分别为11．29，10．28；P＜0．01）。结论采用聚焦解决模式护理干预，能明显改善乳腺癌患者围手术期焦虑、抑郁等负性情绪，有利于患者配合治疗，增加手术耐受能力，提高手术治疗效果，促进机体康复。
목적：탐토취초해결모식호리간예대개선유선암환자위수술기초필억욱적효과。방법선택모원유선암위수술기환자120례，안조수궤수자표법분위대조조화관찰조각60례。대조조안조상규호리진행간예，관찰조재차기출상의거취초해결모식5개보취진행간예。채용초필자평량표（ SAS）、억욱자평량표（ SDS）진행평개。결과간예전량조환자적SAS、SDS평분비교차이무통계학의의（P＞0．05）；실시취초해결모식호리간예후관찰조적SAS、SDS평분분별위（41．64±6．32），（42．61±6．40）분，분별저우대조조적（57．07±7．32），（59．42±7．49）분，차이유통계학의의（t분별위11．29，10．28；P＜0．01）。결론채용취초해결모식호리간예，능명현개선유선암환자위수술기초필、억욱등부성정서，유리우환자배합치료，증가수술내수능력，제고수술치료효과，촉진궤체강복。
Objective To investigate the nursing intervention focused on solving model on improving the anxiety and depression of perioperative breast cancer patients .Methods A total of 120 perioperative breast cancer patients randomly divided into control group ( n=60 ) and observation group ( n=60 ) .Control group received routine care , while observation group received the intervention based on focusing solving model . Anxiety Rating Scale ( SAS ) and Self -rating Depression Scale ( SDS ) were used to assess the results . Results Before the intervention , the differences of SAS and SDS scores between observation group and control group were not statistically significant (P >0.05).After nursing intervention, SAS and SDS scores in observation group were (41.64 ±6.32), (42.61 ±6.40) points, respectively, lower than that in control group (57.07 ±7.32), (59.42 ±7.49) points, and the differences were statistically significant (t=11.29,10.28, respectively;P <0.01 ).Conclusions Focus solving model nursing intervention can significantly improve perioperative anxiety , depression and other negative emotions of breast cancer patients , help patients with treatment, increase surgical tolerance , improve surgical treatment , promote the body recovery .