摘要
目的探讨积极心理暗示对乳腺癌术后患者心理状态的影响。方法选择2014年1月至2016年12月南京市高淳人民医院收治的乳腺癌根治切除术患者156例为研究对象，按照随机数字表法分为观察组和对照组各78例，对照组患者给予常规护理干预，观察组在对照组的基础上给予积极心理暗示，随访3个月，比较2组焦虑与抑郁程度、应对方式、生命质量等指标。结果2组患者各失访3例。观察组干预后焦虑自评量表（SAS）、抑郁自评量表（SOS）评分分别为（40．12±3．56）、（37．25±4．12）分，明显低于对照组的（52．45±4．21）、（48．32±6．14）分，差异有统计学意义（t=19．287、12．965，P〈0．05）；自责、退避评分分别为（0．34±0．07）、（0．32±0．08）分，明显低于对照组的（0．41±0．07）、（0．40±0．07）分，差异有统计学意义（t=6．124、6．518，P〈0．05）；求助、解决问题评分分别为（0．47±0．07）、（0．75±0．16）分，明显高于对照组的（0．42±0．06）、（0．67±0．14）分，差异有统计学意义（t=4．073、3．259，P〈0．05）；躯体功能、角色功能、情绪功能、认知功能、社会功能、生命质量评分分别为（71．46±7．30）、（58．36±5．41）、（72．35±5．58）、（70．38±7．36）、（51．42±5．45）、（50．61±5．53）分，均明显高于对照组的（62．47±6．86）、（54．73±5．29）、（63．57±5．46）、（65．91±5．83）、（43．82±4.76）、（45.54±5．30）分，差异有统计学意义（t=4．123～9．740，P〈0．05）。结论积极心理暗示有助于化解乳腺癌术后患者负性情绪，改善应对方式，提高生命质量。
Objective To investigate the effect of positive psychological implication on psychological status of breast cancer patients undergone operation. Methods A total of 156 cases of breast cancer patients undergone radical resection and admitted to Gaochun People＇s Hospital from January 2014 to December 2016 were selected as the research objects, and divided into the observation group and the control group using the random number table method with 78 cases in each group. Patients in the control group were performed routine nursing intervention, and based on this, patients in the observation group were also performed positive psychological implication. After 3 months of follow-up visit, the degree of anxiety and depression, coping style, life quality and other indexes of patients between the two groups were compared. Results There were respectively 3 cases of patients lost to follow-up in the two groups. The scores of Self-Rating Anxiety Scale （SAS） and Self-Rating Depression Scale （SDS） after intervention in the observation group were respectively 40.12±3.56 and 37.25±4.12, and significantly lower than 52.45±4.21 and 48.32±6.14 in the control group, the difference was statistically significant （t= 19.287,12.965, P〈0.05）; the scores of self-accusation and avoidance were respectively 0.34±0.07 and 0.32±0.08, and significantly lower than 0.41±0.07 and 0.40±0.07 in the control group, the difference was statistically significant （t=6.124, 6.518, P〈0.05）; the scores of seeking help and solving problem were respectively 0.47± 0.07 and 0.75 ±0.16, and significantly higher than 0.42±0.06 and 0.67 ± 0.14 in the control group, the difference was statistically significant （t=4.073, 3.259, P〈0.05）; the scores of physical function, role function, emotional function, cognitive function, social function and quality of life were respectively 71.46±7.30, 58.36 ± 5.41, 72.35 ± 5.58, 70.38 ± 7.36, 51.42 ± 5.45 and 50.61 ± 5.53, and significantly higher than 62.47±6.86, 54.73±5.29, 63.57±5.46, 65.91±5.83, 43.82±4.76 and 45.54±5.30 in the control group, the difference was statistically significant （t=4.123-9.740, P〈0.05）. Conclusions Positive psychological implication can help to relieve the negative emotions, improve the coping style and enhance the quality of life of breast cancer patients undergone operation.
出处
《中国实用护理杂志》
2018年第1期33-37,共5页
Chinese Journal of Practical Nursing
基金
江苏现代医院管理研究中心课题项目（JSY-2013-009）
关键词
乳腺癌根治术
心理暗示
心理状态
Radical mastectomy
Psychological implication
Mental state
