摘要
目的探讨年轻乳腺癌患者的心理健康状况以及心理需求,为制定临床决策,给予患者社会支持,开展关怀计划提供参考。方法选取于我院就诊的年龄小于35岁的乳腺疾病患者74例,经病理证实50例恶性患者为研究组,24例良性者为对照组。采用艾森克人格量表、焦虑和抑郁评价量表评测患者的心理健康状态,通过心理需求调查表,对患者关注的心理需求实施调查,并采用社会支持评定量表调查患者的社会支持利用程度。调查方法采用面谈和电话回访。记录并统计分析得分。结果年轻乳腺癌患者存在明显的焦虑、抑郁状态及神经质倾向(t_1=5.439,t_2=1.454,t_3=3.758,P<0.05)。心理需求主要集中在治疗费用、乳房缺损补救、婚姻生活质量以及生育能力方面,其中88%患者有生育计划,而患者生育知识回答正确率仅为8.6%~42.9%。两组患者社会支持利用度得分均较低,且二者比较差异无统计学意义(t=0.798,P>0.05)。结论年轻乳腺癌群体存在着明显的紧张、焦虑、易怒等神经质倾向应给与患者专业的心理疏导。应高度重视青年乳腺癌患者的心理需求,增加针对性的生育知识宣传,给予有效支持与帮助,及时调整治疗决策。同时,年轻乳腺癌患者对社会支持的利用程度明显不足,应增加渠道、创新方式,优化社会支持网络。
Objective To explore psychological health status and psychological needs of young patients with breast cancer,and to provide reference for the development of clinical strategy of nutrition support therapy plan.Methods 74 breast cancer patients were selected under 35 year old.To access respectively the rating scale for of young patients with breast cancer(n=50)50 cancer patients were in study group and 24 patients with benign lesion were in control group.The psychological status,psychological needs and Social support degree were evaluated.All patients were interviewed and called-back after the completion of.Results The rating scales of EPQ-RSC with N type,SAS,SDS in study group was higher than those in control group,there was significant difference(t1=5.439,t2=1.454,t3=3.758,P<0.05),compared with control group.Psychological needs mainly focused on treatment cost,defect remedy of breast,marriage quality and fertility,among which 88%patients had fertility plan,however,the correct answering rate of fertility knowledge was only 8.6%~42.9%.All of patients with social support utilization scores were low,and there was no statistically significant difference between two groups(t=0.798,P>0.05).Conclusion Young breast cancer patients are of obvious tension,anxiety,irritability and nervousness tendency.They should be given professional psychological guide and psychological needs should be attached great importance.Meanwhile,utilization of social support in young patients with breast cancer is obviously insufficient,which should be improved by increasing the channels,innovation and optimizing social support network.
作者
王倩
宋颖
李二妮
梁媛
李静
周纯武
赵心明
WANG Qian;SONG Ying;LI Er-ni;LIANG Yuan;LI Jing;ZHOU Chun-wu;ZHAO Xin-ming(Department of Diagnostic Imaging,National Cancer Center/Cancer Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100021,China)
出处
《肿瘤代谢与营养电子杂志》
2018年第2期194-197,共4页
Electronic Journal of Metabolism and Nutrition of Cancer
基金
国家自然科学基金(81671757)
中国医学科学院医学与健康科技创新工程(2016-I2M-1-001)
关键词
年轻乳腺癌患者
心理需求
社会支持
生育计划
Young patients with breast cancer
Psychological needs
Social support
Fertility plan
