CAJ | 학술논문

目的：探讨心理护理干预对乳腺癌根治术患者术后心理状况及生活质量的影响。方法选择2012年1月~2015年1月在我院行乳腺癌根治术的患者74例，均为已婚患者，随机分为心理干预组和对照组各37例，排除存在肿瘤远处转移、伴有严重躯体性疾病者。结果心理干预组干预后的SAS评分、SDS评分均显著低于对照组，差异有统计学意义(P<0.05)；心理干预组干预后的功能领域各项评分及总体健康状况评分均较干预前明显升高，且心理干预组的功能领域各项评分及总体健康状况评分分别显著高于对照组，差异有统计学意义(P<0.05)；心理干预组干预后的症状领域各项评分及特异性症状评分均较干预前显著降低，且心理干预组的症状领域各项评分及特异性症状评分均显著低于对照组，差异有统计学意义(P<0.05)。结论对乳腺癌根治术患者实施心理护理干预，有利于改善患者术后的心理状况，提高患者的生活质量。
목적：탐토심리호리간예대유선암근치술환자술후심리상황급생활질량적영향。방법선택2012년1월~2015년1월재아원행유선암근치술적환자74례，균위이혼환자，수궤분위심리간예조화대조조각37례，배제존재종류원처전이、반유엄중구체성질병자。결과심리간예조간예후적SAS평분、SDS평분균현저저우대조조，차이유통계학의의(P<0.05)；심리간예조간예후적공능영역각항평분급총체건강상황평분균교간예전명현승고，차심리간예조적공능영역각항평분급총체건강상황평분분별현저고우대조조，차이유통계학의의(P<0.05)；심리간예조간예후적증상영역각항평분급특이성증상평분균교간예전현저강저，차심리간예조적증상영역각항평분급특이성증상평분균현저저우대조조，차이유통계학의의(P<0.05)。결론대유선암근치술환자실시심리호리간예，유리우개선환자술후적심리상황，제고환자적생활질량。
Objective To explore the effect of psychological nursing intervention on postoperativemental status and quality of life. Methods The 74 cases of patients with breast cancer after radical operation from January 2012 to January 2015 in our hospital,all married patients,all patients were randomly divided into intervention group(37 cases)and con-trol group(37 cases),were collected. All clinical data of patients with complete and signed the informed consent,vol-untary acceptance of various scale survey. Exclude the presence of severe somatic diseases associated with distant metastasis of the tumor. Results The psychological intervention group SAS score and SDS score were significantly lower than those before intervention, and psychological intervention group SAS score and SDS score were significantly lower than those of the control group,with significant difference(P<0.05),psychological intervention group do prognostic score function field the score and overall health status were compared with that before the intervention significantly elevated scores and psychological intervention group of the function field of the score and overall health status were significantly higher than those in control group,with statistically significant difference(P<0.05),psychological interven-tion group the symptoms score and domain specific symptoms scores were significantly decreased than before interven-tion,and psychological intervention group symptoms score and specificity of the field symptom scores were significantly lower than those in control group,with significant difference(P<0.05). Conclusion The psychological nursing interven-tion in breast cancer patients is conducive to improve the psychological status of the patients after operation,improve the quality of life of patients.