摘要
目的分析配偶同步认知行为管理对乳腺癌改良根治术患者围手术期心理状态的影响。方法将乳腺癌改良根治术患者随机化分为2组,对照组54例应用传统的护理模式,观察组54例应用配偶同步认知行为管理,比较两组各项指标的差异。结果两组管理前的评分比较相近,P>0.05差异无统计学意义。观察组管理后的HADS-A评分、HADS-D评分、SAS评分、SDS评分均低于对照组(t分别=6.05、4.62、12.44、10.77,P均<0.01)。观察组管理后的QLQ-BR23功能领域评分高于对照组,症状领域评分低于对照组(t分别=6.49、8.64,P均<0.001)。功能领域评分和症状领域评分观察组管理前后的差值大于对照组(t分别=37.24、6.66,P均<0.01)。结论配偶同步认知行为管理可有效改善乳腺癌改良根治术患者的围手术期心理状态,对提高患者生活质量具有积极的促进作用。
Objective To analyze and discuss the effects of spousal synchronous cognitive behavior management on perioperative mental state of patients undergoing modified radical mastectomy.Methods Patients with modified mastectomy were randomly divided into two groups. Fifty-four patients in the control group were treated with traditional nursing mode, and 54 patients in the observation group were treated with spousal synchronous cognitive behavior management. Differences of indicators between the two groups were compared and analyzed.Results The scores of the two groups before the management were similar, with no significant difference of P>0.05. The scores of HADS-A, HADS-D, SAS and SDS of the observation group after the management were lower than those of the control group(t=6.05, 4.62, 12.44 and 10.77, respectively, P<0.01). The QLQ-BR23 functional domain score in the observation group was higher than that in the control group, and the symptom domain score was lower than that in the control group(t=6.49, 8.64, respectively, P<0.001).Conclusion Spousal synchronous cognitive behavior management can effectively improve the perioperative mental state of patients with modified radical mastectomy, and has a positive promoting effect on improving the quality of life of patients.
作者
朱晓伟
Zhu Xiaowei(General Surgery Department,Huzhou Central Hospital,Huzhou 313000,China)
出处
《中国医院统计》
2019年第1期16-18,共3页
Chinese Journal of Hospital Statistics
关键词
乳腺癌
心理状态
围手术期
配偶同步认知行为管理
乳腺癌改良根治术
breast cancer
mental state
perioperative period
spousal synchronous cognitive behavior management
modified radical mastectomy
