心理护理对乳腺癌术后化疗病人生活质量与不良情绪影响.docVIP

心理护理对乳腺癌术后化疗病人生活质量与不良情绪影响 　　【摘要】目的：探究乳腺癌术后化疗患者实施心理护理对其负面情绪及生活质量的影响。方法：选取2015年度和2016年度在我院行手术治疗后化疗的乳腺癌患者120例为研究对象，根据护理方法的不同将患者分为常规组（n=63）和干预组（n=57）。观察两组患者护理前后的焦虑、抑郁情绪及生活质量。结果：两组患者护理后生活质量各项评分均显著高于护理前（p0.05），焦虑和抑郁评分低于护理前，且干预组患者护理后生活质量各项评分明显高于常规组护理后的评分（p0.05），焦虑和抑郁评分低于常规组护理后的评分（p0.05）。结论：乳腺癌患者术后给予针对性心理护理措施，可减轻患者不良心理状况，促使其生存质量改善。 　　【关键词】乳腺癌；手术；化疗；负面情绪；生活质量 　　[Abstract] Objective：To explore the effect of psychological nursing on negative emotion and quality of life in patients with breast cancer after chemotherapy. Methods： 120 patients with breast cancer who received chemotherapy after operation in our hospital in 2015 and 2016 were selected as subjects. According to the different nursing methods， patients were divided into routine group （n=63） and intervention group （n=57）. The anxiety， depression and quality of life were observed in the two groups of patients before and after nursing. Results： the quality of life of the patients after the intervention in the two groups were significantly higher than those before treatment （P 0.05）， anxiety and depression score lower than before treatment， and the patients in the intervention group after nursing life quality scores were significantly higher than the control group after nursing score （P 0.05）， anxiety and depression scores were lower than those of the conventional group after nursing the score （P 0.05）. Conclusion： the psychological nursing measures of the patients with breast cancer can reduce the psychological condition of the patients and improve the quality of life. 　　[Key words] Breast cancer； surgery； chemotherapy； negative emotions； quality of life 　　【中图分类号】R473.73 【文献标识码】B 【文章编号】2095-6851（2017）12--01 　　乳腺癌是女性最常见的恶性肿瘤之一，临床治疗以手术和化疗为主，治疗后患者一侧或双侧乳房残缺、形体发生变化及脱发等改变了患者的身体形象，严重影响了患者的心理状况和生活质量。为了探究乳腺癌术后化疗患者实施心理护理对其负面情绪及生活质量的影响，笔者选取120例患者进行了本次研究，总结如下： 　　1 资料和方法 　　1.1 一般资料 　　选取2015年度和2016年度在我院行手术治疗后化疗的乳腺癌患者120例为研究对象，根据护理方法的不同分为常规组（n=63）和干预组（n=57）。 　　常规组男女患者比例38/25；平均年龄（33.43±4.65）岁；全乳切除术15例、乳腺癌保乳术21例、乳腺癌根治术17例、