心理学_临床·情绪·心理疗法·乳腺肿瘤_

围术期乳腺癌患者的综合性心理干预

http://www.100md.com 《中国普通现代外科进展》 2006年第4期

心理学,临床·情绪·心理疗法·乳腺肿瘤,,心理学，临床·情绪·心理疗法·乳腺肿瘤,1资料与方法,2结果,3讨论,参考文献

     【摘要】目的：探讨心理干预对围术期乳腺癌患者不良情绪及自尊的影响。方法：60例接受乳腺癌根治手术的早期(ⅠⅡ期)乳腺癌患者随机分成两组，干预组手术前给予45min的综合性心理干预，而对照组不实行心理干预。用心理干预理行为评定量表(SAS、SDS、SCL90、SEI、TCSQ)对入院后和手术后患者情绪状况及自尊水平进行测试。结果：干预后干预组的SAS、SDS、SCL90量表得分、消极应对(NC)得分均低于对照组(P<0.01)；干预后干预组的SEI得分、积极应对(PC)高于对照组(P<0.01)。结论：心理干预可有效改善乳腺癌患者的不良情绪，提高患者的积极应对和自尊水平，降低消极应对。

    【关键词】心理学，临床·情绪·心理疗法·乳腺肿瘤

    The influence of psychological intervention on emotion and selfesteem of breast cancer patients during perioperative period

    YU Hongluan1,PAN Fang2,LIN Cuixia3,WANG Xia4

    1Department of Psychology of Qilu Hospital,2 Medical Psychology Department of Sch

    ool of Medicine,4Department of Public Hygiene,Shandong University(Jinan 250012,

    China)

    3Department of Nursing School,Shandong Traditional Chinese Medicine University(Ji

    nan 250014,China)

    【ABSTRACT】Objective:To assess the effects of psychological intervention on breast cancers’ emotion and selfesteem during the time of operation.Methods:60 volunteers who were diagnosed as breast cancer with fine needle aspiration were divided into two groups.All the patients received the tests of psychological rating scales(SAS,SDS,SCL90,SEI,TCSQ).The patients in intervention group were given 45 minutes’ psychological intervention before operation.Results:The intervention group patients had significantly decreased scores in SAS,SDS,SCL90,NC and increased scores in PC,SEI,compared to the controls(P<0.01,P<0.01,P<0.01,P<0.01,P<0.01,P<0.01,respectively).Conclusion:Psychological intervention can significantly improve the patients’ psychological status. ......

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