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目的探讨综合性心理护理干预在年轻乳腺癌患者围治疗期的应用效果。方法选取100名年轻乳腺癌围治疗期患者作为研究对象,按随机数表法随机分为对照组(50例)和干预组(50例)。对照组采用乳腺癌围治疗期常规护理,干预组在对照组的基础上,实行综合性心理护理干预,对比干预前后两组患者的抑郁情绪和生活质量情况。结果干预前两组患者的贝克抑郁自评量表(BDI)得分差异不明显(P>0.05);干预后,干预组BDI得分远低于对照组,差异存统计学意义(P<0.05);干预前,两者患者的癌症患者生命质量测定量表(QLQ-C30)各项评分比较,差异无统计学意义(P>0.05);干预后,对照组和干预组的QLQ-C30总分分别为(42.53±13.94)分,(50.18±11.18)分,差异比较存统计学意义(P<0.01)。结论综合性心理护理干预能明显缓解围治疗期年轻乳腺癌患者的抑郁情绪,提高患者的生活质量及治疗的信心,促进良好医患关系的建立,值得在临床上进行推广。
Objective To investigate the effect of comprehensive psychological nursing intervention in the treatment of young patients with breast cancer. Methods A total of 100 young patients with breast cancer were enrolled in this study. The patients were randomly divided into control group (n = 50) and intervention group (n = 50) according to random number table method. The control group was treated with routine care during the treatment of breast cancer. On the basis of the control group, the intervention group implemented the comprehensive psychological nursing intervention to compare the depression and quality of life before and after the intervention. Results Before the intervention, there was no significant difference in the Baker depression self - rating scale (BDI) (P> 0.05). After the intervention, BDI scores in the intervention group were much lower than those in the control group (P <0.05). Before intervention, the QLQ-C30 scores of cancer patients in both groups had no significant difference (P> 0.05); after intervention, the total score of QLQ-C30 in control group and intervention group were (42.53 ± 13.94) points, (50.18 ± 11.18) points, the difference was statistically significant (P <0.01). Conclusion Comprehensive psychological nursing intervention can significantly relieve the depression, improve the quality of life and the confidence of patients in the treatment of young patients with breast cancer, and promote the establishment of a good doctor-patient relationship, which is worth to be popularized clinically.