心理干预对乳腺癌患者焦虑抑郁情绪及生存质量的影响

摘要

目的 了解心理干预对乳腺癌焦虑抑郁患者情绪及生存质量的影响.方法 将90例乳腺癌焦虑抑郁患者随机分为两组,每组45例.两组均予以常规诊疗和护理,研究组在此基础上联合心理干预.观察8周.于干预前后采用汉密顿焦虑量表、汉密顿抑郁量表及世界卫生组织生存质量评定量表简表进行测评分析,同时评定患者的治疗依从性.结果 干预前两组各项指标比较差异无显著性(P>0.05).干预后,两组汉密顿焦虑量表、汉密顿抑郁量表评分均较干预前显著降低(P<0.05或0.01),研究组显著低于对照组(P<0.05或0.01);研究组世界卫生组织生存质量评定量表简表各领域评分和对照组心理领域、社会领域、环境领域评分较干预前显著升高(P<0.01),研究组显著高于对照组(P<0.05或0.01).干预后研究组治疗依从性有显著改善(P<0.01),对照组则无显著变化(P>0.05),研究组优于对照组(P<0.01).结论 心理干预能显著改善乳腺癌焦虑抑郁患者的不良情绪,提高其治疗依从性及生存质量.%Objective To investigate the effects of mental intervention on anxious and depressive emotions and quality of life of patients with breast cancer. Method Ninety patients with breast cancer were randomly divided into two groups of 45 ones each. Both groups received routine treatment and nursing and research group was plus mental intervention on this basis for 8 weeks. Assessments were conducted with Hamilton Anxiety Scale (HAMA),Hamilton Depression Scale (HAMD) and the WHO Quality of Life Scale (WHOQOL-BREF) before and after intervention,meanwhile treatment adherence was assessed. Results Group differences in all indexes weren't significant before intervention (P>0.05). After intervention the SAS and SDS scores of both groups lowered more significantly compared with pre-intervention (P<0.05 or 0.01) and those were significantly lower in research than in control group (P<0.05 or 0.01);all domains scores of the WHOQOL-BREF in research and psychological health,social relationships,and environment in control group heightened more significantly (P<0.01) and those were significantly higher in research than in control group (P<0.05 or 0.01). After intervention treatment adherence improved more significantly in research (P<0.01),didn't in control group (P>0.05),was better in the former than in the latter (P<0.01). Conclusion Psychological intervention could improve unhealthy emotions of breast cancer patients with anxiety and depression and boost treatment compliance and quality of life.