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中国临床药理学与治疗学 ›› 2010, Vol. 15 ›› Issue (1): 101-105.

• 药物治疗学 • 上一篇    下一篇

心理危机干预改善晚期乳腺癌患者生活质量的研究

赵文英1, 吴万春2   

  1. 1皖南医学院弋矶山医院肿瘤内科, 2消化内科, 芜湖241000, 安徽
  • 收稿日期:2009-12-01 修回日期:2010-01-05 出版日期:2010-01-26 发布日期:2020-09-21
  • 作者简介:赵文英, 女, 主任医师, 硕士生导师, 主要从事肿瘤内科工作。Tel: 13505530069 E-mail: Zhaowy98@yahoo.com.cn

Psychological crisis intervention to improve the quality of life of patients with advanced breast cancer

ZHAO Wen-ying, WU Wan-chun   

  1. Yijishan Hospital Wannan Medical College, Wuhu 241000, Anhui, China
  • Received:2009-12-01 Revised:2010-01-05 Online:2010-01-26 Published:2020-09-21

摘要: 目的 探讨心理危机干预对晚期乳腺癌患者生活质量改善的影响。方法 随机将108 例晚期乳腺癌患者分成心理危机干预组(65 例) 和对照组(43 例), 进行心理危机干预, 采用抑郁自评量表(SDS) 、焦虑自评量表(SAS) 和SF-36 量表(即健康调查简表, the Mos36 item shore formhealth survey, SF-36) 进行评价, 再作对照分析。结果 干预组心理危机干预后, SDS 、SAS 各项评分均较干预前显著降低(均P <0 .01), SF-36 的8个领域评分显著增高(P <0 .01) ;对照组SDS 、SAS 评分均无明显差异(均P >0 .05), SF-36 评分除生理职能和躯体疼痛外均无统计学差异(P>0 .05) 。结论 心理危机干预可显著改善晚期乳腺癌患者心理状况, 从而提高晚期乳腺癌患者生活质量。

关键词: 心理危机干预, 生活质量, 晚期乳腺癌

Abstract: AIM: To improve the impact of psychological crisis intervention on the quality of life for patient s with advanced breast cancer.METHODS: 108 cases with advanced breast cancer were randomly divided into psycho logical crisis intervention group (65 cases) and control group (43 cases).A psychological cri sis intervention, a self-rating depression scale (SDS), a self-rating anxiety scale (SAS) and a SF-36 Scale (that i s health survey summary table, the Mos36 item shore form health survey, SF-36) evaluation were used to analyze compared with control group.RESULTS: After the interventionin psychological crisis intervention group, the scores of SDS and SAS were significantly lower than those before the intervention (both P <0.01), the 8 areas of SF-36 score were significantly increased (P <0.01) ;There were nosignificant differences in control group between the scores of SDS and SAS before and after treatment (all P >0.05).Except for 2 areas of physiological functions of the body and outside pain in SF-36 score, there were nosignificant differences before and after treatment (P >0.05). CONCLUSION: Psychological intervention cansignificantly improve the psycho logical state of patients with advanced breast cancer, thereby improve the quality of life in patients with advanced breast cancer.

Key words: Psychological crisis intervention, Quality of life(QOL), Advanced breast cancer

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