CAJ | 학술논문

目的：探讨社区综合干预方案对乳腺癌患者心理量表——症状自评量表（SCL-90）、抑郁自评量表（SDS）、焦虑自评量表（SAS）的影响。方法：将112例乳腺癌病人随机分为两组，综合干预组与对照组，各56例。同时具备“生物－心理－社会”三者干预因素的归于综合干预组，且综合干预组中必须有中医药干预方案，不同时具备三者干预因素的归于对照组。观察比较乳腺癌患者在干预前、干预后6个月、12个月、18个月SCL-90、SDS、SAS评分变化。结果：干预12、18个月后综合干预组躯体化、强迫症状、抑郁、焦虑、敌对分值明显低于对照组，差异有显著性（P<0.05）。干预组患者抑郁、焦虑情绪12、18个月后得到明显改善，与对照组相比有显著性差异（P<0.01）。结论：社区综合干预能够明显改善乳腺癌患者心理症状和抑郁、焦虑情绪，且改善程度与时间成正比，干预时间以12~18个月左右为佳。
목적：탐토사구종합간예방안대유선암환자심리량표——증상자평량표（SCL-90）、억욱자평량표（SDS）、초필자평량표（SAS）적영향。방법：장112례유선암병인수궤분위량조，종합간예조여대조조，각56례。동시구비“생물－심리－사회”삼자간예인소적귀우종합간예조，차종합간예조중필수유중의약간예방안，불동시구비삼자간예인소적귀우대조조。관찰비교유선암환자재간예전、간예후6개월、12개월、18개월SCL-90、SDS、SAS평분변화。결과：간예12、18개월후종합간예조구체화、강박증상、억욱、초필、활대분치명현저우대조조，차이유현저성（P<0.05）。간예조환자억욱、초필정서12、18개월후득도명현개선，여대조조상비유현저성차이（P<0.01）。결론：사구종합간예능구명현개선유선암환자심리증상화억욱、초필정서，차개선정도여시간성정비，간예시간이12~18개월좌우위가。
Objective: To investigate effects of comprehensive community intervention programs for SCL-90, SDS, SAS. Methods:112 patients with mammary cancer were randomly divided into the comprehensive intervention group and the control group, 56 cases for each. Patients with biology-psychology-society three factors were assigned to the comprehensive intervention group, and were given TCM medicine intervention program necessarily; patients without the three factors at the same time were assigned to the control group. Scores change of SCL-90, SDS, SAS were observed before and after treatment in 6 months, 12 months and 18 months. Results:In 12 months and 18 months, sores of somatization, obsessive-compulsive, depression, anxiety, hostility in the comprehensive intervention group were obviously lower than those in the control (P<0.05); depression and anxiety in control group were improved obviously, with significant difference (P<0.01). Conclusion: Comprehensive intervention programs in community could obviously improve psychological symptoms, depression and anxiety, the degree of improvement was proportional to the time. 12~18 months were the suitable interventional time.