围术期乳腺癌患者的综合性心理干预

    【关键词】心理学 临床 情绪 心理疗法 乳腺肿瘤

      The influence of psychological intervention on emotion and selfesteem of breast cancer patients during perioperative period

    YU Hongluan1,PAN Fang2,LIN Cuixia3,WANG Xia4

    1Department of Psychology of Qilu Hospital,2 Medical Psychology Department of Sch

    ool of Medicine,4Department of Public Hygiene,Shandong University(Jinan 250012,

    China)

    3Department of Nursing School,Shandong Traditional Chinese Medicine University(Ji

    nan 250014,China)

    【ABSTRACT】Objective:To assess the effects of psychological intervention on breast cancers’ emotion and selfesteem during the time of operation.Methods:60 volunteers who were diagnosed as breast cancer with fine needle aspiration were divided into two groups.All the patients received the tests of psychological rating scales(SAS,SDS,SCL90,SEI,TCSQ).The patients in intervention group were given 45 minutes’ psychological intervention before operation.Results:The intervention group patients had significantly decreased scores in SAS,SDS,SCL90,NC and increased scores in PC,SEI,compared to the controls(P＜0.01,P＜0.01,P＜0.01,P＜0.01,P＜0.01,P＜0.01,respectively).Conclusion:Psychological intervention can significantly improve the patients’ psychological status.

    【KEY WORDS】Psychology,clinical?Emotions?Psychotherapy?Breast neoplasms    乳腺癌患者普遍存在明显的情绪障碍，焦虑、抑郁是乳腺癌病人最常见的情绪反应［13］。癌症患者的屈服应对是最不利健康甚至康复的一种应对方式［4］。本文针对乳腺癌患者临床常见的心理问题，通过对围术期乳腺癌患者进行综合性心理干预，观察乳腺癌患者不良情绪、自尊水平、应对方式的变化，对心理干预的效果进行评介，为乳腺癌患者围术期临床心理治疗提供实验和理论依据。

    1  资料与方法

    1.1  资料

    1.1.1  病例2003.02.20~2003.08.20在山东大学齐鲁医院普外科接受乳腺癌根治手术的早期（ⅠⅡ期）乳腺癌住院病人60例，30~60岁，其中伴有腋窝淋巴结转移者20例，无转移者40例。随机分为干预组（30例）和对照组（30例），两组年龄、职业、受教育水平

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