乳腺癌术后患者认知模式与心理健康状况的对照研究.pdfVIP

2015年03月 中国民康医学 Mar,2015 第27卷摇 半月刊摇 第06期摇 摇 摇 摇 摇 Medical Journal of Chinese Peoples Health摇 摇 摇 摇 摇 Vol.27摇 Semimonthly摇 No.06 揖论摇 摇 著铱 乳腺癌术后患者认知模式与心理健康状况 的对照研究 1 2 1 金摇 洋 ,李摇 晨 ,严明珠 (1.郑州大学附属肿瘤医院/ 河南省肿瘤医院,河南摇 郑州摇 450000;2.解放军第153 中心医院) 揖摘要铱摇 目的:分析不同认知模式的乳腺癌术后患者的心理健康状况。 方法:采用前瞻性表格调查方法,描述性研究患者认知模式; 应用症状自评量表(SCL-90)、汉密尔顿抑郁及焦虑量表(HAMD,HAMA)评价患者心理健康状况。 结果:104 例患者,98例(94.2%)完成目 标调查。 不同认知模式患者在HAMA(P=0.148)、HAMD(P=0.125)阳性构成比不存在统计学差异,在SCL-90诸项因子分均明显(P0.05) 或显著(P0.01)高于中国常模,且呈现特异分布。 结论:乳腺癌术后患者存在明显心理障碍,且表现各不相同。 揖关键词 铱摇 乳腺癌;外科手术;认知模式;心身障碍 doi:摇 10.3969/ j.issn.1672-0369.2015.06.004 中图分类号:摇 R737.9摇 摇 摇 摇 文献标识码:摇 A摇 摇 摇 摇 文章编号:摇 摇 1672-0369(2015)06-0010-03 Control study of cognitionmode andmental health status of patients after breast carcinoma surgical operation 1 2 1 JINYang ,LI Chen ,YANMingzhu (1.HenanProvinceTumor Central Hospital,Zhengzhou Henan450000,China;2.PLA No. 153 Central Hospital) 揖Abstract铱摇 Objective:To study mental health status of patients with different cognition modes after breast carcinoma surgical operations. Methods:The cognition modes and mental health statuses of the patients were investigated by cognition mode question鄄 naire,symptom checklist90 (SCL-90),Hamilton depression scale (HAMD),and Hamilton anxiety scale (HAMA). Results:A鄄 mong the 104 patients,98 patients (94.2%) had been examined in the study. The significant differences of depression and anxiety werenot showninthefourcognitionmodegroupsby HAMAHAMD,whileeachitemscoreof SCL-90wassignificantlyhigher (P0. 05) or highly significantly higher (P0.01) than the China norm in the four cognition grou