乳腺癌术后化疗患者焦虑状态和生活质量情况及心理干预的价值研究

Research on the anxiety state, quality of life, psychological intervention for the patients with chemotherapy after breast cancer

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2018, 45(5)
作者
作者单位

重庆市大足区人民医院普外科 ;

摘要
【摘要】 调查乳腺癌术后化疗患者的焦虑状态和生活质量,分析心理干预的临床效果。方法 调查乳腺癌术后化疗患者情绪状态、睡眠质量、生活质量以及影响患者心理状态的现实、家庭与身体问题调查进行问卷调查,并实施心理护理干预,6周后观察护理效果。结果 95例患者均存在不同程度焦虑抑郁状态、睡眠障碍和生活质量下降问题,外表缺陷、洗澡或穿着、化疗毒副反应问题、家庭经济问题是影响患者心理状态的主要原因;实施心理护理干预后患者SAS、SDS、睡眠质量、入睡时间、睡眠时间、睡眠效率及睡眠障碍评分均明显低于干预前,差异有统计学意义(P<0.05);干预后患者躯体功能、角色功能、认知功能、情绪功能及社会功能评分均明显高于干预前,恶心呕吐、疲劳及疼痛评分均明显低于干预前,差异有统计学意义(P<0.05)。结论 乳腺癌术后化疗患者普遍存在焦虑抑郁、睡眠障碍和生活质量下降问题,实施心理护理干预能够有效解决上述问题,临床应用价值较高。
Abstract
【Abstract】Objective To research on values of anxiety state, quality of life, psychological intervention for the patients with chemotherapy after breast cancer. Methods Investigation of postoperative breast cancer chemotherapy patients emotional state, sleep quality, quality of life and affect patients psychological state of reality, family and physical problems investigation questionnaire, implementation of psychological nursing intervention, six weeks after the nursing effect. Results 95 patients have different degree of anxiety depression, sleep disorders and lower quality of life issues, appearance defects, taking a bath, or dress, toxic and side reaction of chemotherapy, family economic problems is a major cause of affected patients psychological state. The scores of SAS, SDS, sleep quality, fall-sleep time, sleeping time, sleep efficiency, sleep disorder after interfere were lower than before interfere(P<0.05); The scores of physical function, role function, cognitive function, emotional function and social function after interfere were higher than before interfere(P<0.05); The scores of nausea and vomiting, fatigue and pain after interfere were lower than before interfere(P<0.05). Conclusion It has anxiety, depression, sleep disorders, and lower quality of life issues for the patients with chemotherapy after breast cancer, it can solve the above problem by psychological nursing intervention, it has high values of clinical application.
关键词
【关键词】乳腺癌;化疗;焦虑抑郁;生活质量;心理干预
KeyWord
【Key words】breast cancer; chemotherapy; anxiety and depression; quality of life; psychological intervention
基金项目
页码 928-930
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张红菊,燕蕾*,罗欣月,袁媛. 乳腺癌术后化疗患者焦虑状态和生活质量情况及心理干预的价值研究 [J]. 国际精神病学杂志. 2018; 45; (5). 928 - 930.

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