[1]肖春花,卢国华,张学慧,等.心理干预对乳腺癌术后乳房重建患者心身症状的影响[J].中华乳腺病杂志(电子版),2008,2(6):641-646.
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心理干预对乳腺癌术后乳房重建患者心身症状的影响 ()

中华乳腺病杂志（电子版）[ISSN:1674-0807/CN:11-9146/R]

卷:
第2卷
期数:
2008年6期
页码:
641-646
栏目:
临床研究
出版日期:
2008-12-01

文章信息/Info

作者:
肖春花;卢国华;张学慧;尹健;宁连胜
天津医科大学附属肿瘤医院乳腺一科（肖春花、张学慧、尹健、宁连胜）;天津师范大学心理学教研室（卢国华）
关键词:
乳腺癌; 乳房重建; 心身症状; 心理干预
摘要:
目的　探讨乳腺癌患者乳房重建手术前后的心身症状及干预治疗的效果。方法　采用焦虑自评量表（ｓｅｌｆｒａｔｉｎｇａｎｘｉｅｔｙｓｃａｌｅ，ＳＡＳ）和抑郁自评量表ｓｅｌｆ ｒａｔｉｎｇｄｅｐｒｅｓｓｉｏｎｓｃａｌｅ，ＳＤＳ）对天津医科大学附属肿瘤医院乳腺一科２００１年５月至２００７年２月９６例乳腺癌术后患者在乳房重建手术前后心身症状进行评价，同时在重建手术前后对患者进行心理干预治疗，评价治疗效果。结果　心理干预治疗降低了乳房重建术前焦虑、抑郁、自卑、躯体症状及外形不满意的发生率（Ｐ＜０．０５），而对性吸引力下降无改善（Ｐ＞０．０５）。乳房重建术后心身症状发生率在干预治疗后低于心理干预治疗前（Ｐ＜０．０５）。心理干预治疗显著降低腹直肌皮瓣重建术后心身症状发生率（Ｐ＜０．０５），而对背阔肌皮瓣重建后可降低焦虑、抑郁及躯体症状发生率（Ｐ＜０．０５），同时降低假体重建术后焦虑抑郁发生率（Ｐ＜０．０５），而对其它症状无改善（Ｐ＞０．０５）。结论　心理干预治疗降低了乳房重建手术前后乳腺癌患者心身症状的发生率，对提高乳腺癌患者的生活质量有积极作用。

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更新日期/Last Update: 2008-01-20