摘要
目的探讨在常规护理的基础上增加心理弹性训练护理对乳腺癌简化根治术后的患者精神状态的影响。方法病例来源于我院2012年1月～2015年5月收治的诊断明确且已经接受乳腺癌简化根治术的患者，共74例，按照随机数字表法将其均分为对照组和观察组，每组37例。给予对照组常规性护理12周，观察组则在常规性护理的基础上再给予心理弹性训练护理12周。护理结束后比较两组患者的抑郁自评量表（SDS）、焦虑自评量表（SAS）等的差异。结果观察组患者护理干预后SDS、SAS、创伤后成长量表（PTGI）、成人心理弹性量表（RSA）总分以及各项因子分与干预前相比改善显著，差异有统计学意义（P〈0．05）；但观察组护理干预后知觉压力量表（CPSS）评分与干预前比较，差异不具有统计学意义（P〉0．05）；对照组患者干预后SDS、SAS、PTGI、CPSS、RSA总分以及各项因子分与干预前相比改善轻微，差异无统计学意义（P〉0．05）；观察组患者护理干预后SDS、SAS、PTGI、RSA总分以及各项因子分与对照组干预后对比，差异有统计学意义（P〈0．05）。结论在常规护理的基础上增加心理弹性训练护理可更有效的的改善乳腺癌患者的精神状态，提高患者抗应激能力及创伤后成长水平。
Objective To explore the effect of psychological flexibility training nursing on the basis of the routine care on the mental status of patients with breast cancer after simplified radical mastectomy. Methods 74 cases of patients diagnosed as breast cancer after simplified radical mastectomy were selected in our hospital from January 2012 to May 2015 for this research. According to random number table method, all the patients in the study were divided into the control group and the observation group, 37 cases in each group. The control group were received the routine nursing for 12 weeks, while the observation group were given psychological flexibility training nursing besides the routine nursing for 12 weeks. Then after nursing finished the SDS, SAS between the two groups were compared. Results After nursing intervention, in the observation group the score of SAS, SDS, PTGI, RSA and each factor were much better than that before nursing intervention, the difference had statistical significance （P 〈 0.05 ） . However, the difference of CPSS between before and after nursing care in the observation group had no statistical significance （P 〉 0.05 ） . After nursing intervention, the score of SAS, SDS, PTGI, RSA and each factor in the control group showed no statistical change than that before nursing intervention （P〉 0.05 ） . The difference of SAS, SDS, PTGI, RSA and each factor＇ score between the two groups after the intervention had statistical meaning （P 〈 0.05 ） . Conclusion The psychological flexibility training nursing on the basis of the routine nursing can be more effective to improve the breast cancer patients＇ mental status after simplified radical mastectomy, also it＇ s better for the patients to increase the stress tolerance and posttraumatic growth level.
出处
《国际精神病学杂志》
2016年第2期350-353,共4页
Journal Of International Psychiatry
关键词
心理弹性训练
乳腺癌
简化根治术
精神状态
Psychological flexibility training
Breast cancer
Simplified radical mastectomy
Mental status
