乳腺癌患者心理问题及护理对策剖析.docVIP

乳腺癌患者心理问题及护理对策剖析 　　[摘要]目的 探?乳腺癌患者心理状态及护理对策分析。方法 回顾性分析2014年7月～2015年7月我院收治的60例乳腺癌患者的临床资料，根据患者给予的护理措施不同，将患者分为干预组和对照组，每组各30例。对照组患者给予常规护理，干预组在常规护理的基础上，给予舒适护理干预。入院时及出院当天采用Zung氏抑郁自评量表（SDS）、焦虑自评量表（SAS）对患者的抑郁、焦虑程度进行评估；利用癌症治疗功能评价系统（FACT-B）评定患者的生命质量；比较两组患者对护理工作的满意度。结果 护理干预前两组患者的SDS、SAS评分比较，差异无统计学意义（P0.05）；护理干预后两组患者SDS、SAS评分均较护理前降低，且干预组明显低于对照组，差异均有统计学意义（P0.05）。护理干预后干预组患者FACT-B各项评分及总分均明显高于对照组，差异有统计学意义（P0.05）。干预组的护理满意程度明显高于对照组，差异有统计学意义（P0.05）。结论 有效地进行舒适护理干预，可以改善乳腺癌患者焦虑、抑郁等负性心理状态，从心理、社会、疾病等方面作出护理诊断与干预，有助于提高患者的生活质量，促进患者的恢复，提高护理满意度。 　　[关键词]乳腺癌；护理干预；焦虑；抑郁；生命质量 　　[中图分类号] R737.9 [文献标识码] A [文章编号] 1674-4721（2016）12（c）-0176-04 　　Psychological problems and nursing countermeasures of patients with breast cancer 　　HUANG Shi-fang 　　Department of Nursing，the People′s Hospital of Jiawang District of Xuzhou City，Jiangsu Province，Xuzhou 221011，China 　　[Abstract]Objective To investigate the psychological state and nursing counter measures of patients with breast cancer.Methods Clinical data of 60 patients with breast cancer treated in our hospital from July 2014 to July 2015 were retrospectively analyzed.Patients were divided into intervention group and control group by the different nursing measures，each of 30 cases.Patients in the control group were given the routine care；the intervention group was given comfort nursing intervention measures on the basis of routine nursing.SDS and SAS were used to assess the level of depression and anxiety in patients at the time of admission and discharge.FACT-B was used to evaluate the quality of life of patients；nursing satisfaction was compared between the two groups.Results Scores of SDS and SAS of the two groups before nursing intervention had no significant difference （P0.05）.After nursing intervention，the scores of SDS and SAS of patients in the two groups were decreased significantly compared with before nursing intervention，and the intervention group was significantly lower than that of the control group，the differences were statistically signi