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目的对乳腺癌患者在社会支持前后的心理状况进行动态观察,探讨社会支持对乳腺癌患者心理状况的影响。方法以焦虑自评量表(SAS)、抑郁自评量表(SDS)、社会支持评定量表(SSRS)以及治疗依从性对50例入组乳腺癌患者进行调查分析。结果患者社会支持前后的SAS总分(t=14.84,P<0.01)、SDS总分(t=10.20,P<0.01)以及治疗不依从性比例(χ2=23.93,P<0.01)均差异有统计学意义,呈明显下降;SSRS评分中的客观支持度总分(t=2.60,P<0.05)、主观支持度总分(t=5.73,P<0.01)、对支持利用度总分(t=2.26,P<0.05)以及治疗依从性(χ2=27.21,P<0.01)差异亦均有统计学意义,呈明显提高。结论社会支持与患者心理状况具有相关性。良好的多层次、多角度的社会支持系统,可促进患者的焦虑、抑郁症状明显好转,从而提高其长期治疗的依从性。
Objective To investigate the psychological status of patients with breast cancer before and after social support, and to explore the impact of social support on the psychological status of patients with breast cancer. Methods Fifty patients with breast cancer were investigated by SAS, SDS, SSRS and treatment compliance. Results There were statistically significant differences in SAS scores before and after social support (t = 14.84, P <0.01), SDS score (t = 10.20, P <0.01) and the proportion of non-compliance (χ2 = 23.93, P <0.01) (T = 2.60, P <0.05), the total score of subjective support (t = 5.73, P <0.01), the score of supportive use (t = 2.26, P <0.05), and the treatment compliance (χ2 = 27.21, P <0.01), the differences were also statistically significant, was significantly improved. Conclusion Social support is related to the psychological status of patients. Good multi-level, multi-angle social support system can promote the patient’s anxiety, depression symptoms significantly improved, thereby enhancing its long-term treatment compliance.