赵友兰 贺婷 谭艳芳 彭蓉蓉 王丹

    2020年10月于本院接受手术的乳腺癌患者60例，按随机数字表法分为对照组(30例)和观察组(30例)。对照组实施常规护理，观察组实施阶梯式心理护理，持续干预24周。比较两组干预前后焦虑和抑郁程度、生存质量。结果：干预前，两组焦虑、抑郁评分比较，差异均无统计学意义(P>0.05);干预后，两组焦虑、抑郁评分均低于干预前，且观察组的焦虑、抑郁评分均低于对照组，差异均有统计学意义(P<0.05)。干预前，两组生存质量评分比较，差异无统计学意义(P>0.05);干预后，两组生存质量评分高于干预前，且观察组高于对照组，差异均有统计学意义(P<0.05)。结论：对乳腺癌术后患者实施阶梯式心理护理，可有效减轻其焦虑、抑郁程度，并提升其生存质量。

    【关键词】 乳腺癌 阶梯式心理护理 焦虑 抑郁 生存质量

    [Abstract] Objective： To explore the application effect of stepped-type psychological nursing in postoperative patients with breast cancer. Method： A total of 60 breast cancer patients who underwent surgery in our hospital from April 2019 to October 2020 were selected， they were divided into control group (30 cases) and observation group (30 cases) according to random number table method. The control group carried out routine nursing， the observation group carried out stepped psychological nursing， continuous intervention for 24 weeks. The degree of anxiety ......