以夫妻为中心的心理干预在老年乳腺癌患者中的应用-中国护理管理.PDFVIP

论 著 Research Paper 以夫妻为中心的心理干预在老年乳腺癌 患者中的应用效果评价 李明士 张智 [摘 要]  目的：评价在老年乳腺癌患者中实施以夫妻为中心的心理干预的效果。方法：选取2014年6月至 2015年6月在我院住院治疗的老年乳腺癌患者84例为研究对象，随机分为两组各42例，观察组对夫妻双方同 时实施心理干预，对照组仅对乳腺癌患者单独实施心理干预，比较干预前后两组家庭功能、社会支持、情绪状态 以及生活质量情况。结果：干预后观察组家庭关怀度指数量表的合作度、情感度、亲密度维度得分以及总分，社 会支持评定量表的主观支持、支持利用度及总分，FACT-G生活质量自评量表各维度得分及总分明显高于对照组 P0.05)；干预后观察组焦虑与抑郁发生率低于对照组（P0.05）。结论：以夫妻为中心的心理干预能够改善老 （ 年乳腺癌患者的家庭功能与社会支持，减轻不良情绪，提高患者生活质量，效果优于单独对患者实施心理干预。    [关键词]  心理疗法；乳腺癌；以夫妻为中心                  [中图分类号]  R47 [DOI] 10.3969/j.issn.1672-1756.2016.06.008 The effect of couple-centered psychological intervention among elderly patients with breast cancer / LI Mingshi, ZHANG Zhi // Department of geriatrics, Nanjing Gulou Hospital, Nanjing, 210008 China /// Chinese Nursing Management- 2016,16(6): 749-754 [Abstract] Objective: To evaluate the effect of couple-centered psychological intervention among elderly patients with breast cancer. Methods: Totally 84 elderly patients with breast cancer in our hospital from Jun 2014 to Jun 2015 were recruited and randomly divided into two groups with 42 patients in each group. The patients in the experimental group received psychological intervention with their spouses together, while the patients in the control group received psychological intervention alone. The family function, social support, anxiety and depression, and quality of life between the 2 groups were compared before and after intervention. Results: After intervention, cooperation, affection, intimacy scores and total score of family APGAR index (APGAR) in the experimental group were significantly higher than those of the control group (P0.05) and the incidence rate of anxiety and dep