心理干预对乳腺癌术后患者及其配偶生活质量的影响

目的探讨心理干预对乳腺癌术后患者及其配偶生活质量的影响，以期提高乳腺癌患者术后生活质量。方法将60例需行手术治疗的乳腺癌患者随机分为干预组和对照组各30例，其配偶按照患者分组同时一一对应分为干预配偶组及对照配偶组，对照组采取常规护理，对照组及其配偶在常规护理基础上进行心理干预，于人院时及术后3个月时分别进行生活质量综合评定问卷调查（GQOLI-74量表）。结果入院时两组患者及其配偶GQOLI-74量表躯体功能、心理功能、社会功能、物质功能维度评分及总分比较差异无统计学意义（P〉0．05），但术后3个月时两组患者的躯体功能、心理功能、社会功能、物质功能维度评分及总分均高于入院时（P〈0．05），配偶心理功能、物质功能维度评分及总分也高于入院时（P〈0．05），干预组患者及其配偶的生活质量改善程度优于对照组及其配偶（尸〈O．05）。结论对乳腺癌手术患者及其配偶进行个性化的心理干预有助于提高患者及其配偶后期的生活质量。

Eeffect of psychological intervention on the postoperative quality of life of patients with breast cancer and their spouses.

Objective To investigate the psychological intervention on the quality of life of breast cancer patients and their spouses after surgery, in order to improve the quality of life postoperatively in patients with breast cancer. Methods Sixty patients with breast cancer scheduled for surgical treatment were randomly divided into the intervention group and the control group, with 30 cases in each group. Their spouses were also divided into the intervention spouse group and the control spouse group accordingly at the same time. The control group adopted routine nursing, and the intervention group and their spouses received psychological intervention based on routine nursing. The life quality comprehensive evaluation questionnaire （GQOLI-74 scale） was applied on admission and 3 months post- operatively. Results The GQOLI-74 scale physical function, psychological function, social function and material comparison function dimension score and total score of the patients and their spouses showed no statistically significant difference between the two groups on admission （P〉0.05）, and these scores of the patients in the two groups were significantly increased 3 months postoperatively than on admission （P〈0.05）. The psychological function, physical function dimension score and total score of the spouses were also higher 3 months postoperatively than on admission （P〈0.05. The improvements in the intervention group were better than that of the control group （P〈 0.05）. Conclusion Individualized psychological intervention for patients with breast cancer after surgery and their spouses help to improve the quality of life of the patients and their spouses in the late life.