乳腺癌患者保乳根治术后的心理护理效果观察.docx

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乳腺癌患者保乳根治术后的心理护理效果观察

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王磊女，本科，副主任护师，1965年9月出生，现在科教科，研究方向:外科心理护理与实用护理

摘要：目的：分析心理干预在乳腺癌患者保乳根治术后康复护理中的应用效果。方法：取本院乳腺科于2012-2014年间收治的乳腺癌患者保乳根治手术后患者80例作为研究对象，随机均分为观察组与对照组；观察组患者在常规护理基础上给予针对性的乳腺癌保乳根治手术后心理康复护理，对照组患者给予手术后常规护理，比较两组患者术后康复治疗中断率与抑郁情绪评分。结果：观察组CRP、IL-6、TNF-a各值均显著低于对照组，差异有统计学意义（P＜0.05），观察组患者的术后康复治疗中断率显著低于对照组患者(P0.05)，接受治疗前，两组患者紧张、焦虑等负面情绪无明显差异（P＞0.05）；治疗后，观察组SDS评分、SAS评分、VAS评分明显低于对照组（P＜0.05）。结论：心理干预可以有效提高患者术后康复治疗的依从性，减少不良情绪的产生。

关键词：心理干预；乳腺癌保乳根治手术；康复护理

Toobservetheeffectofpsychologicalnursingofpatientswithbreastcancerafterbreastconservingsurgery

Abstract:Objective:Toanalyzetheeffectofrehabilitationnursingintheapplicationofpsychologicalinterventioninpatientswithbreastcancerafterbreastconservingsurgery.Method:takethegynecologicalhospitalbetween2012-2014treatedbreastcancerpatientsafterbreastconservingoperation80patientsastheresearchobject,randomlypidedintoobservationgroupandcontrolgroup;thepatientsintheobservationgroupweregiventargetedbreastcancerafterradicaloperationofpsychologicalrehabilitationnursinginbasicnursing,basicnursingoperationafterthegivencontrolgroupsofpatients,patientswerecomparedbetweenthetwogroupsafterrehabilitationtreatmentinterruptionrateanddepressionscore.Results:thevalueofobservedgroupCRP,IL-6,TNF-aweresignificantlylowerthanthoseinthecontrolgroup,thedifferencewasstatisticallysignificant(P0.05),theobservationgrouppatientspostoperativerehabilitationtreatmentinterruptionratewaslowerthanthatofpatientsinthecontrolgroup(P0.05),priortotreatment,nosignificantdifferencebetweenthetwogroupsofpatientswithtension,anxietyandothernegativeemotions(P0.05);aftertreatment,SDSscore,SASscoregroup,observedtheVASscorewassignificantlylowerthanthecontrolgroup(P0.05).Conclusion:thepsychologicalinterventioncaneffectivelyimprove