乳腺癌化疗期心理干预.doc

乳腺癌化疗期的心理干预 ?乳腺癌近年来逐渐成为严重危害妇女健康的恶性肿瘤之一,化疗作为一种有效的治疗方法,以巩固疗效,降低术后复发率,延长其生存期,可以弥补手术治疗的不足。由化疗引起的不良反应如脱发、便秘、呕吐,厌食,焦虑等给患者的身心健康造成了严重的影响。进行心理上的治疗可减轻乳腺癌化疗患者的焦虑状态,使之在治疗期拥有良好的心情,从而积极配合治疗和护理。据相关报道,60%伴有焦虑—抑郁情绪的患者没有得到任何心理咨询或心理治疗。这不仅降低了患者生存质量,而且降低了患者接受治疗的配合性,影响了癌症治疗结局。本文旨在探讨心里干预对乳腺癌化疗后患者生存质量的影响。 Breast cancer in recent years gradually become one of serious harm to the health of women malignant tumor, chemotherapy as an effective treatment method, in order to consolidate curative effect, reduce the postoperative recurrence rate and prolong the survival period, can make up for the inadequacy of surgical treatment. Caused by chemotherapy adverse reactions such as hair loss, constipation, vomiting, anorexia, anxiety to the patients physical and mental health caused serious influence. Psychological therapy can reduce the anxiety state of breast cancer patients with chemotherapy, to phase in the treatment with good mood, to actively cooperate with treatment and care. According to reports, 60% of patients with anxiety, depression received no counseling or psychological treatment. This not only reduces the survival quality, and reduce the patients treated with sex, affects the cancer treatment outcome. The purpose of this paper is to discuss the in the mind interfere the influence of the quality of life in patients with breast cancer after chemotherapy. 1 化疗前的心理干预 One chemotherapy before psychological intervention 1.1 乳腺癌患者得知自己患有癌症之后,心理会出现不同程度的障碍。如愤怒、恐惧和焦虑等,因此医生要及时与患者建立良好的医护关系,了解患者的内心动向,给予及时的疏导。并且根据患者受教育程度、对乳腺癌的掌握程度,针对性的开展乳腺癌知识教育。讲解临床治疗的方案和预后情况,消除患者对疾病的恐惧感。医生应向患者或家属介绍化疗药物的作用、使用方法、不良反应及预防措施,让患者采取相应的防范措施,减轻化疗反应,保持良好的精神状态,消除患者的紧张、恐惧情绪,配合治疗。 1.1 breast cancer patients after learned that he had cancer, mental will appear different degree of obstacles. Such as anger, fear and anxiety, so the doctor to timely and build up good relationship with medical patients, understand the patients heart, to give timely guidance. And according to the patients level of education, master degree of breast ca