乳腺癌患者心理问题及护理对策分析

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1、乳腺癌患者心理问题及护理对策分析［摘要］冃的探?乳腺癌患者心理状态及护理对策分析。方法回顾性分析2014年7刀〜2015年7刀我院收治的60例乳腺癌患者的临床资料，根据患者给予的护理措施不同，将患者分为干预组和对照组，每组各30例。对照组患者给了常规护理，干预组在常规护理的基础上，给予舒适护理干预。入院时及出院当天采用Zimg氏抑郁自评量表(SDS)、焦虑口评量表(SAS)对患者的抑郁、焦虑程度进行评估；利用癌症治疗功能评价系统(FACT-B)评定患者的生命质量；比较两组患者对护理工作的满意度。结果护理干预前两组患者的SDS、SAS评分比较，差

2、异无统计学意义(P>0.05)；护理干预后两组患者SDS、SAS评分均较护理前降低，且干预组明显低于对照组，差异均有统计学意义(PV0.05)。护理干预后干预组患者FACT-B各项评分及总分均明显高于对照组，差异有统计学意义(P<0.05)o干预组的护理满意程度明显高于对照组，羌异有统计学意义(P<0.05)o结论有效地进行舒适护理干预，可以改善乳腺癌患者焦虑、抑郁等负性心理状态，从心理、社会、疾病等方面作出护理诊断与干预，有助于提高患者的生活质量，促进患者的恢复，提高护理满意度。［关键词］乳腺癌；护理干预；焦虑；抑郁；生命质量［中图分类号］R

3、737.9［文献标识码］A［文章编号］1674-4721(2016)12(c)-0176-04PsychologicalproblemsandnursingcountermeasuresofpatientswithbreastcancerHUANGShi-fangDepartmentofNursing,thePeople'sHospitalofJiawangDistrictofXuzhouCity,JiangsuProvince,Xuzhou221011,China[Abstract]ObjectiveToinvestigatethepsych

4、ologicalstateandnursingcountermeasuresofpatientswithbreastcancer.MethodsClinicaldataof60patientswithbreastcancertreatedinourhospitalfromJuly2014toJuly2015wereretrospectivelyanalyzed.Patientsweredividedintointerventiongroupandcontrolgroupbythedifferentnursingmeasures,eachof30

5、cases.Patientsinthecontrolgroupweregiventheroutinecare；theinterventiongroupwasgivencomfortnursinginterventionmeasuresonthebasisofroutinenursing.SDSandSASwereusedtoassessthelevelofdepressionandanxietyinpatientsatthetimeofadmissionanddischarge.FACT-Bwasusedtoevaluatethequality

6、oflifeofpatients；nursingsatisfactionwascomparedbetweenthetwogroups.ResultsScoresofSDSandSASofthetwogroupsbeforenursinginterventionhadnosignificantdifference(P>0.05).Afternursingintervention,thescoresofSDSandSASofpatientsinthetwogroupsweredecreasedsignificantlycomparedwithbef

7、orenursingintervention,andtheinterventiongroupwassignificantlylowerthanthatofthecontrolgroup,thedifferenceswerestatisticallysignificant(P<0.05)・Afternursingintervention,thescoresandthetotalscoreofFACT-Boftheinterventiongroupweresignificantlyhigherthanthoseofthecontrolgroup,a

8、ndthedifferencewasstatisticallysignificant(P<0.05)・Thenursingsatisfactionof