Objective To study the effect of rational emotional therapy on self-esteem status and quality of life of patients with breast cancer radical surgery.Methods 90 cases of breast cancer in breast surgery of our hospital were selected as the research object,and randomly divided into control group and observation group with 45 cases in each group.Control group received routine cancer postoperative nursing,and observation group received rational emotional therapy on the basis of control group (started after admission,in the form of face to face interview,30-40 min each time,3-4 times per week).Carried out FACT-B life quality evaluation before intervention,6 and 12 months after intervention,SSES self-esteem status assessment before and after intervention.Results 6 months after intervention,the score of emotional dimension,social/family dimension,additional attention dimension of observation group were significantly higher than those of control group;12 months after intervention,the score of each dimension of quality of life of observation group were significantly higher than those of control group and those before intervention (P＜0.05).Conclusion Rational emotional therapy after breast cancer radical surgery can provide scientific and systematic emotional regulating guidance,improve self management behavior,significantly improve patients' level of self-esteem,subjective well-being,and quality of life,worthy of further promotion.%目的 探讨理性情绪疗法对乳腺癌根治术后患者自尊状况及生活质量的影响.方法 选择我院乳腺外科收治的90例乳腺癌患者为研究对象,随机分为对照组和观察组各45例.对照组采取癌症常规术后护理,观察组在对照组的基础上实施理性情绪疗法(入院后即开始实施,以面对面访谈的方式,30～40 min/次,3～4次/周).两组患者干预前及干预后6、12个月采用FACT-B生活质量评价,同时干预前后用SSES评定自尊状况.结果 干预后6个月,观察组患者情感维度、社会/家庭维度、附加关注维度评分明显高于对照组;干预后12个月,观察组生活质量的各个维度评分均显著高于对照组,且各维度评分较干预前明显提高(P＜0.05).结论 乳癌根治术后实施合理情绪疗法,可提供科学、系统的情志调护指导,提高自我管理行为,显著提升患者的自尊水平及主观幸福感,生活质量明显提升,值得进一步推广.
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