心理学__

结构式心理干预对围手术期乳腺癌患者不良情绪及应激水平的影响

http://www.100md.com 《中国普通现代外科进展》 2005年第5期

心理学,,心理学，临床·肾上腺皮质激素类·情绪·乳腺肿瘤,1资料与方法,2结果,3讨论,参考文献

     【摘要】目的：探讨结构式心理干预对围手术期乳腺癌患者不良情绪及应激水平的影响。方法：60例接受乳腺癌根治手术的早期(ⅠⅡ期)乳腺癌患者随机分成两组，干预组手术前给予45min的结构式心理干预，对照组不实行心理干预。用心理行为评定量表(SAS、SDS、SCL90)对入院后和手术后患者情绪状况进行评分，同时抽取患者清晨空腹血查皮质醇(Cortisol)作为应激水平的检测。结果：干预后干预组的SAS、SDS、SCL90量表得分均低于对照组(P0.01);干预后干预组血液Cortisol水平低于对照组(P0.05)；干预组干预前后Cortisol水平呈下降趋势，而对照组则呈上升趋势。结论：心理干预可有效改善乳腺癌患者的不良情绪，有效降低应激激素的分泌水平，降低应激程度。

    【关键词】心理学，临床·肾上腺皮质激素类·情绪·乳腺肿瘤

    The influence of psychological intervention in operable breast cancer patients’ emotion and cortisol

    YU Hongluan,PAN Fang,JIANG Hong,MA Rong,SUN Jingzhong

    1Department of Psychology,3Department of General Surgery,Qilu Hospital,2Department of Medical Psychology,School of Medicine,Shandong University(Jinan 250012,China)

    【ABSTRACT】Objective:To assess the effects of psychological intervention during the time of operation.Methods:60 volunteers who were diagnosed as breast cancer with fine needle aspiration were divided into two groups.All the patients received the tests of psychological rating scales (SAS,SDS,SCL90) and blood cortisol before and after operation.The patients in intervention group were given 45 minutes’ structural interview before operation.Results:The intervention group patients had significantly decreased scores in SAS,SDS,SCL90.The results of CORTISOL (ng/ml) showed that the intervention group patients had a lower level of CORTISOL after intervention and the cotrol group patients had a higher level of CORTISOL than the scores before intervention.Conclusion:Psychological intervention can significantly improve patients’ psychological status and reduce patients’ stress level. ......

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