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心理干预结合健康教育对乳腺癌患者心理状况和生存质量的影响

  • 叶萍,谭思源,汤琪春,徐枫兰

* 通信作者: 叶萍, 单位:盐城市第一人民医院肿瘤科五病区

摘要

摘要
目的 探讨心理干预结合健康教育对乳腺癌患者心理状况和生存质量的影响。

方法 以本院2014年1月至2016年1月收治的96例乳腺癌患者为研究对象,随机分为对照组和观察组,每组48例,对照组予以常规干预方案,观察组在对照组基础上予以心理干预结合健康教育。心理状况评定采用症状自评量表(SCL-90)、焦虑自评量表(SAS)、和抑郁自评量表(SDS)进行测评;生存质量测评采用乳腺癌患者生存质量测定量表(FACT-B)进行。FACT-B包括5个部分:情感状况、生理状况、功能状况、社会家庭状况和乳腺癌特异性模块,所计分值与生存质量成正比。心理干预和健康教育均按2次/周、30min/次进行,总疗程为3月。治疗前后分别对两组患者进行心理状况和生存质量的测评。

结果 治疗前,对照组和观察组各症状差异评分比较均无统计学意义,治疗后,观察组患者抑郁、敌对、焦虑、偏执、躯体化和强迫症状等较对照组和治疗前观察组有显著改善(P<0.05)。治疗前,对照组和观察组SAS和SDS评分差异均无统计学意义,治疗后,对照组SAS评分较治疗前降低,观察组SAS和SDS评分较治疗前均降低,观察组SAS和SDS评分较对照组均降低(P<0.05)。治疗前,对照组和观察组FACT-B各项评分评分差异均无统计学意义,治疗后,对照组情感功能评分较治疗前升高,观察组各项评分较治疗前均升高,观察组各项评分较对照组均升高(P<0.05)。

结论 心理干预结合健康教育可有效改善乳腺癌患者的不良情绪,提高其生存质量。

关键词:关键词 心理干预;健康教育;乳腺癌;生存质量

ABSTRACT


Objective To explore the effect of psychological intervention combined with health education on mental health and quality of life in breast cancer patients.

Methods 96 cases of breast cancer patients were collected in our hospital from January 2014 to January 2016, which were randomly divided into control group and observation group, 48 cases in each group, the control group received routine intervention programs, the observation group were given mental health education and psychological interventions based on control group. Mental health was assessed with the Symptom Checklist (SCL-90), Self-Rating Anxiety Scale (SAS), and self-rating depression scale (SDS) for evaluation; evaluation of the quality of life in breast cancer patients were measured using the Scale (FACT -B) performed. FACT-B consists of five parts: the emotional status, physical status, functional status, social and family status and breast cancer-specific modules, the counted value proportional to the quality of survival. Psychological intervention and health education were taken by 2 times / week, 30min / times, the total course were 3 months. The results of the two groups of patients before and after treatment psychological status and quality of life were assessed.

Results Before treatment, the control group and the observation group differences in symptom scores were not statistically significant. After treatment, depression, hostility, anxiety, paranoia, somatization and compulsive symptoms in observation group were improved compared with the control group (P <0.05). Before treatment, the control group and observation group SAS and SDS scores were not significantly different after treatment, compared with the control group SAS score before treatment, observation group SAS and SDS scores were lower than before treatment, the observation group than the SAS and SDS scores were lower than the control group (P <0.05). Before treatment, the control group and the observation group FACT-B scores scores were not significantly different after treatment, the control group emotional function scores than before treatment increased the rates in the observation group were higher than that before treatment, the observation group the rates were higher than the control group (P <0.05).

Conclusion   Psychological intervention combined with health education could improve breast cancer patients negative emotions and improve their quality of life.

Key words: Key words psychological intervention; health education; breast cancer; quality of life

引用本文 / How to Cite This Article

叶萍,谭思源,汤琪春,徐枫兰.心理干预结合健康教育对乳腺癌患者心理状况和生存质量的影响[J]. 国际精神病学杂志, 2016, 43(6): 1108-1110

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