围治疗期综合性心理护理干预在年轻乳腺癌患者中的应用

The application of comprehensive psychological nursing intervention on around the time of treatment of young patients with breast cancer

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2017, 44(2)
作者
作者单位

应城市人民医院肠胃外科 ;

摘要
[摘要]探讨综合性心理护理干预在年轻乳腺癌患者围治疗期的应用效果。 方法 选取我科2013年1月-2014年12月收治100名年轻乳腺癌围治疗期患者作为研究对象,按随机数表法随机分为对照组50例和干预组50例。对照组采用乳腺癌围治疗期常规护理,干预组在对照组的基础上,实行综合性心理护理干预,对比干预前后两组患者的抑郁和生活质量情况,并对结果进行统计学分析。 结果 干预前两组患者的BDI得分差异不明显(t=0.06,P>0.05);干预后,对照组和干预组的BDI得分分别为(7.89±6.01)分,(5.18±5.34)分,干预组BDI得分远低于对照组,差异存统计学意义(t= 2.38,P<0.05);100例青年乳腺癌患者中,有72.00%(72/100)的患者生活质量小于40分。干预前,两者患者的QLQ-C30各项评分比较,差异无统计学意义(t=-0.05,P>0.05);干预后,对照组和干预组的生活质量总分分别为(42.53±13.94)分,(50.18±11.18)分,差异比较存统计学意义(t=-3.03,P<0.01)。结论 综合性心理护理干预能明显缓解围治疗期年轻乳腺癌患者的抑郁情绪,提高患者的生活质量及治疗的信心,促进良好医患关系的建立,值得在临床上进行推广。
Abstract
[Abstract]Objective To explore the application effect of comprehensive psychological nursing intervention on around the time of treatment of young patients with breast cancer. Method 100 cases of young breast cancer patient in our department from January 2013 to December 2014 as the research object,and randomly assigned to the control group(50 cases)and the intervention group(50 cases).Patients in the control group received routine nursing care,while patients in the intervention group were given comprehensive psychological nursing intervention on the basis of routine care.The effect of the intervention on depression and quality of life was observed in two groups,and the results are statistically analyzed. Result The BDI score of two groups before intervention was not significant difference(t=0.06,P>0.05);After the intervention,the BDI score of control group and intervention group respectively was(7.89±6.01),(5.18±5.34),intervention group BDI score is far lower than the control group, the difference was statistically significant (t= 2.38,P < 0.05);Of 100 cases of young patients with breast cancer, 72.00% (72/100) of the patients quality of life is less than 40 minutes.Before the intervention, the comparison of two groups with QLQ-C30 score was no statistically significant difference (t=-0.05,P > 0.05);After the intervention, control group and intervention groups quality of life scores respectively was (42.53±13.94), ,(50.18±11.18), the differences was statistical significance between two group (t=-3.03,P < 0.01). Conclusion Comprehensive psychological nursing intervention can obviously alleviate the depression of young breast cancer patients around the time of treatment, improve the patients quality of life and confidence, promote the establishment of a good doctor-patient relationship, and is worth popularization in clinical.
关键词
[关键词] 乳腺癌;青年;综合心理护理干预;生活质量;抑郁
KeyWord
[Key Word] Breast cancer; Youth; Comprehensive psychological nursing intervention; Quality of life.;Depression
基金项目
页码 345-347
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陶新华*. 围治疗期综合性心理护理干预在年轻乳腺癌患者中的应用 [J]. 国际精神病学杂志. 2017; 44; (2). 345 - 347.

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