个性化分级心理干预对乳腺癌患者负性情绪和生活质量的影响。
Personalised graded psychological intervention on negative emotion and quality of life in patients with breast cancer.
机构信息
Department of Rheumatology and Immunology, Affiliated Hospital of Hebei Engineering University, Handan, Hebei, China.
Department of Breast Surgery, Affiliated Hospital of Hebei Engineering University, Handan, Hebei, China.
出版信息
Technol Health Care. 2024;32(4):2815-2823. doi: 10.3233/THC-232021.
BACKGROUND
Psychological factors are a risk factor for the incidence of breast cancer and have a significant impact on patient prognosis.
OBJECTIVE
The present study aims to investigate the effects of personalised graded psychological intervention on negative emotion and quality of life in patients with breast cancer.
METHODS
A total of 200 patients with breast cancer were randomly divided into two groups: an experimental group (n= 100) and control group (n= 100). Both groups received routine nursing care. The experimental group received personalised graded psychological intervention care, and the control group received routine nursing measures. After 2 months of standard treatment, the patients' quality of life and negative emotions were evaluated using the self-rating depression scale (SDS), self-rating anxiety scale (SAS), social support rating scale (SSRS) and quality of life measurement scale (FACT-B) scoring criteria.
RESULTS
There were no significant differences in the general data between the two groups (p> 0.05). Furthermore, there were no significant differences in the SDS, SAS, SSRS and FACT-B scores between the two groups before personalised graded psychological intervention (p> 0.05). After the intervention, the experimental group exhibited an improved nursing effect compared with the control group. The SDS and SAS scores were lower in the experimental group than in the control group (p< 0.05); after the intervention, the SDS and SAS scores were significantly lower in the experimental group than in the control group (p< 0.05). The SSRS and FACT-B scores were higher in the experimental group than in the control group (p< 0.05), and the experimental group's post-intervention SSRS and FACT-B scores were significantly higher than before the intervention (p< 0.05).
CONCLUSIONS
The use of personalised graded psychological intervention for the nursing of patients with breast cancer in clinical practice can significantly reduce patients' negative emotions as well as improve positive emotions and quality of life; thus, this method can be popularised in the nursing process.
背景
心理因素是乳腺癌发病的危险因素，对患者的预后有重要影响。
目的
本研究旨在探讨个性化分级心理干预对乳腺癌患者负性情绪和生活质量的影响。
方法
将 200 例乳腺癌患者随机分为两组，实验组（n=100）和对照组（n=100）。两组均给予常规护理，实验组给予个性化分级心理干预护理，对照组给予常规护理措施。标准治疗 2 个月后，采用抑郁自评量表（SDS）、焦虑自评量表（SAS）、社会支持评定量表（SSRS）和生活质量测定量表（FACT-B）评分标准评价两组患者的生活质量和负性情绪。
结果
两组患者一般资料比较差异无统计学意义（P>0.05），且两组患者干预前 SDS、SAS、SSRS、FACT-B 评分比较差异均无统计学意义（P>0.05）。干预后实验组护理效果优于对照组，SDS、SAS 评分低于对照组（P<0.05），干预后实验组 SDS、SAS 评分均低于对照组（P<0.05）；SSRS、FACT-B 评分高于对照组（P<0.05），实验组干预后 SSRS、FACT-B 评分均高于干预前（P<0.05）。
结论
将个性化分级心理干预应用于乳腺癌患者的临床护理中，可显著降低患者的负性情绪，提高积极情绪和生活质量，可在护理过程中推广应用。
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