团体心理护理对乳腺癌术后患者生活质量的影响

摘要

目的：探索乳腺癌术后患者的心理健康状况及生活质量，以及团体心理护理对患者心理状态的影响。方法对46例乳腺癌术后患者进行为期10周的结构化、封闭式团体心理护理,在基线和治疗4周后分别进行QLQ-C30、SAS、SDS、社会支持评定量表和特质应对方式问卷评估。结果团体心理护理后患者抑郁、焦虑、疲乏、疼痛、气促、食欲丧失、失眠、便秘及腹泻评分显著降低( t=2.907～6.314, P＝0．000～0.006)；社会功能、情绪功能、角色功能、积极应对方式及社会支持在小组干预后则显著增强( t=-5.476～-2.237，P =0.000～0.032)。结论团体心理护理可明显改善乳腺癌术后患者的生存质量、情绪状态、社会支持以及应对方式。%Objective To investigate the impact of structured group psychological intervention on the survival quality, emotion, social support and coping in breast cancer patients after chemotherapy. Methods A total of 46 patients with breast cancer after chemotherapy were subjected in this study. They then received a 10-week structured group interview. Before and in 4 weeks after the interview, al patients were investigated by the scale of QLQ-C30, self-rating depression scale (SDS), self-rating anxiety scale (SAS) , social support rating scale (SSRS) and trait coping style questionnaire. Results The scores of SDS, SAS, pain, fatigue, anhelation, loss of appetite, insomnia, constipation and diarrhea were dropped down ( t= 2. 907~6.314, P=0.000~0. 006), and the scores of social function, emotional function, role function, positive coping style and SSRS were increased ( t= -5.476~-2.237,P =0. 000~0.032) significantly in 4 weeks after the end of interview than those before. Conclusion structured group psychological intervention has significant impact on the survival quality, emotional status, coping styles and social support of the breast cancer patients after chemotherapy.