| 江琳,陈娇龙,华玲,等.以家庭为中心的延续性积极心理干预对乳腺癌患者术后心理及生活质量的影响[J].中国临床保健杂志,2025,28(2):234-238. |
| 以家庭为中心的延续性积极心理干预对乳腺癌患者术后心理及生活质量的影响 |
| Influence of family centered continuous positive psychological intervention on psychology and quality of life of breast cancer patients after surgery |
| 投稿时间：2024-12-10 |
| DOI：10.3969/J.issn.1672-6790.2025.02.017 |
| 中文关键词: 乳腺肿瘤 延续性医护 心理社会干预 家庭 生活质量 |
| 英文关键词: Breast neoplasms Transitional care Psychosocial intervention Family Quality of life 〖FL |
| 基金项目:安徽省自然科学基金项目(1908085QH363) |
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| 摘要点击次数: 26 |
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| 中文摘要: |
| 目的 探讨以家庭为中心的延续性积极心理干预对乳腺癌患者术后负面情绪、心理弹性及生活质量的影响。方法 选择2023年7月至2024年6月中国科学技术大学附属第一医院(安徽省立医院)乳腺外科行乳腺癌手术的120例患者为研究对象。按照随机数字表法分为观察组(以家庭为中心的延续性积极心理干预)和对照组(常规护理干预),各60例,比较2组乳腺癌患者负性情绪、心理弹性、生活质量和家庭照顾者生活质量方面的差异。结果 干预后,观察组患者的焦虑自评量表评分、抑郁自评量表评分均低于对照组,差异有统计学意义(P<0.01)；心理弹性量表评分、乳腺癌生存质量测定量表评分均高于对照组,差异有统计学意义(P<0.05)；家庭照顾者生活质量量表评分高于对照组,差异有统计学意义(P<0.05)。结论 以家庭为中心的延续性积极心理干预是有效且可行的,能够改善患者的心理状态,提升患者和家庭照顾者的生活质量。 |
| 英文摘要: |
| Objective To explore the influence of family centered continuous positive psychological intervention on negative emotions,psychological resilience and quality of life of breast cancer patients after surgery.Methods One hundred and twenty patients who underwent breast cancer surgery in the First Affiliated Hospital of University of Science and Technology of China from July 2023 to June 2024 were selected as the study subjects.They were randomly divided into the observation group (family centered continuous positive psychological intervention) and the control group (routine nursing intervention),with 60 cases in each group.The differences in negative emotions,psychological resilience,quality of life and quality of life of family caregivers between the two groups of breast cancer patients were compared.Results After intervention,the mean SAS and SDS scores of negative emotions in the observation group were lower than those in the control group,the differences were statistically significant(P<0.01);the average scores of CD-RISC for psychological resilience and FACT-B for quality of life in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05);the average CQOL score for the quality of life of family caregivers in the observation group was higher than that in the control group,the differences were statistically significant(P<0.05).Conclusions The continuity positive psychological intervention centered on the family is effective and feasible,which can improve the psychological state of patients and improve the quality of life of patients and family caregivers. |
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