92例乳腺癌患者配偶健康干预对夫妻焦虑抑郁影响.docVIP

92例乳腺癌患者配偶健康干预对夫妻焦虑抑郁影响 　　摘 要 目的： 观察乳腺癌患者配偶的社区健康干预对夫妻焦虑、抑郁的影响。方法：随机抽样150对患者夫妻为研究对象，干预组对患者配偶进行社区健康干预，对照组配偶仅作常规关怀。采用抑郁量表评估两组焦虑、抑郁情况。结果：干预组干预前后患者配偶焦虑和抑郁评估差异明显（P＜0.05），对照组无差异。结论：乳腺癌患者配偶的社区健康干预对改善夫妻焦虑、抑郁有积极作用。 　　关键词乳腺癌配偶健康干预焦虑抑郁 　　中图分类号：R737.9文献标识码：A文章编号：1006-1533（2014）12-0037-03 　　Impact of the health intervention on the anxiety and depression of ninety-two spouses of breast cancer patients 　　ZHANG Qi, MAO Bin, BAO Zhimin, ZHOU Xianzhen 　　(Zhenru Community Health Service Center of Putuo District, Shanghai , China 200233) 　　ABSTRACTObjective: To observe the impact of the community health intervention on the anxiety and depression of the spouses of breast cancer patients. Methods: Total of 150 pairs of spouses were selected as the research subjects randomly, among whom 100 pairs were divided into the intervention group and 50 into the compared one. The spouses of breast cancer patients in the intervention group received the community health intervention and the control group only got the routine care. The anxiety and depression of both groups were evaluated with the depression scale. Results: The difference of the anxiety and depression in the intervention group was obvious before and after intervention (p＜0.05), and there was no difference in the compared group. Conclusion: The community health intervention has an active role in improving the anxiety and depression of the pairs of spouses of breast cancer patients. 　　KEY WORDSbreast cancer; spouse; community health intervention; anxiety; depression 　　乳腺癌患者易产生焦虑、失眠、社交障碍等心理疾病，从而降低了生活质量。乳房等器官的切除，还可能影响夫妻的情感 [1]，尤其配偶会担心疾病的转归、术后形体改变等问题，使之也产生焦虑、抑郁情绪。然而，配偶的态度、行为、情绪对乳腺癌患者的治疗和预后至关重要。已有文献报道，家属的社会心理疾病发生率等于或大于癌症患者。在对抗癌症的战役中，癌症患者的家属被认为是共同受累者，其生存质量也会受到影响，癌症患者和家属的心理健康相互关联 [2-5]。因此，乳腺癌患者康复尤其需要其配偶在生理和心理上的照护[6]。我们观察了92例乳腺癌患者配偶的社区健康干预对夫妻焦虑、抑郁程度的影响。 　　 资料与方法 　　 入选与排除标准 　　入选标准：女性乳腺癌患者；年龄30～70岁；单侧乳腺癌术后3年内。排除标准：乳腺癌已转移；长期卧床、严重心肝肾疾病及意识障碍；男性配偶长期卧床、严重心肝肾疾病及意识障碍。 　　 研究对象 　　由预防保健科肿瘤访视部门，筛选出符合条件的患者夫妇，随机抽样150对作为研究对象，100对为干预组，50对为对照组。干预组失