中外健康文摘
中外健康文摘
중외건강문적
WORLD HEALTH DIGEST
2014年
14期
65-66
,共2页
乳腺癌%团体心理护理%生存质量%社会支持%特质应对
乳腺癌%糰體心理護理%生存質量%社會支持%特質應對
유선암%단체심리호리%생존질량%사회지지%특질응대
breast cancer patients after chemotherapy%group psychological intervention%survival quality%social support%trait coping style
目的：探索乳腺癌术后患者的心理健康状况及生活质量，以及团体心理护理对患者心理状态的影响。方法对46例乳腺癌术后患者进行为期10周的结构化、封闭式团体心理护理,在基线和治疗4周后分别进行QLQ-C30、SAS、SDS、社会支持评定量表和特质应对方式问卷评估。结果团体心理护理后患者抑郁、焦虑、疲乏、疼痛、气促、食欲丧失、失眠、便秘及腹泻评分显著降低( t=2.907～6.314, P＝0．000～0.006)；社会功能、情绪功能、角色功能、积极应对方式及社会支持在小组干预后则显著增强( t=-5.476～-2.237，P =0.000～0.032)。结论团体心理护理可明显改善乳腺癌术后患者的生存质量、情绪状态、社会支持以及应对方式。
目的：探索乳腺癌術後患者的心理健康狀況及生活質量，以及糰體心理護理對患者心理狀態的影響。方法對46例乳腺癌術後患者進行為期10週的結構化、封閉式糰體心理護理,在基線和治療4週後分彆進行QLQ-C30、SAS、SDS、社會支持評定量錶和特質應對方式問捲評估。結果糰體心理護理後患者抑鬱、焦慮、疲乏、疼痛、氣促、食欲喪失、失眠、便祕及腹瀉評分顯著降低( t=2.907～6.314, P＝0．000～0.006)；社會功能、情緒功能、角色功能、積極應對方式及社會支持在小組榦預後則顯著增彊( t=-5.476～-2.237，P =0.000～0.032)。結論糰體心理護理可明顯改善乳腺癌術後患者的生存質量、情緒狀態、社會支持以及應對方式。
목적：탐색유선암술후환자적심리건강상황급생활질량，이급단체심리호리대환자심리상태적영향。방법대46례유선암술후환자진행위기10주적결구화、봉폐식단체심리호리,재기선화치료4주후분별진행QLQ-C30、SAS、SDS、사회지지평정량표화특질응대방식문권평고。결과단체심리호리후환자억욱、초필、피핍、동통、기촉、식욕상실、실면、편비급복사평분현저강저( t=2.907～6.314, P＝0．000～0.006)；사회공능、정서공능、각색공능、적겁응대방식급사회지지재소조간예후칙현저증강( t=-5.476～-2.237，P =0.000～0.032)。결론단체심리호리가명현개선유선암술후환자적생존질량、정서상태、사회지지이급응대방식。
Objective To investigate the impact of structured group psychological intervention on the survival quality, emotion, social support and coping in breast cancer patients after chemotherapy. Methods A total of 46 patients with breast cancer after chemotherapy were subjected in this study. They then received a 10-week structured group interview. Before and in 4 weeks after the interview, al patients were investigated by the scale of QLQ-C30, self-rating depression scale (SDS), self-rating anxiety scale (SAS) , social support rating scale (SSRS) and trait coping style questionnaire. Results The scores of SDS, SAS, pain, fatigue, anhelation, loss of appetite, insomnia, constipation and diarrhea were dropped down ( t= 2. 907~6.314, P=0.000~0. 006), and the scores of social function, emotional function, role function, positive coping style and SSRS were increased ( t= -5.476~-2.237,P =0. 000~0.032) significantly in 4 weeks after the end of interview than those before. Conclusion structured group psychological intervention has significant impact on the survival quality, emotional status, coping styles and social support of the breast cancer patients after chemotherapy.
