团体心理干预对乳腺癌根治术患者心理困扰及上肢锻炼的影响

宋琳

doi:10.7619/jcmp.202011033

团体心理干预对乳腺癌根治术患者心理困扰及上肢锻炼的影响

宋琳

中国医科大学附属盛京医院第七、十二普外科, 辽宁沈阳, 110004

详细信息

中图分类号: R473.73
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出版历程
- 收稿日期: 2020-04-02
- 网络出版日期: 2020-08-27

Effect of group psychological intervention on psychological disturbance and upper extremity exercise in patients with breast cancer undergoing radical mastectomy

SONG Lin

The 7^th and 12^nd Department of General Surgery, Shengjing Hospital Affiliated to China Medical University, Shenyang, Liaoning, 110004

摘要

摘要: 目的探讨团体心理干预对乳腺癌根治术患者心理困扰及上肢锻炼的影响。方法选取本院2019年6—8月收治的120例乳腺癌根治术患者纳入对照组,采用常规心理干预,选取2019年9—11月收治的120例乳腺癌根治术患者纳入观察组,采用团体心理干预。比较2组干预前后的疾病认知状况、心理困扰程度、上肢锻炼情况。结果干预后,观察组的不明确性、复杂性、不可预测性、信息缺乏性评分均低于对照组,差异有统计学意义(P<0.05)。干预后,观察组的负性心境评分低于对照组,正性心理评分高于对照组,总分低于对照组,差异有统计学意义(P<0.05)。观察组术后上肢功能达优率高于对照组,上肢水肿率低于对照组,差异有统计学意义(P<0.05)。结论团体心理干预能够提高乳腺癌根治术患者的认知水平,减轻其心理困扰,改善其上肢功能锻炼效果,减少上肢水肿的发生。
- 团体心理干预 /
- 乳腺癌根治术 /
- 心理困扰 /
- 上肢功能锻炼 /
- 上肢水肿
Abstract: Objective To explore the effect of group psychological intervention on psychological disturbance and upper extremity exercise in patients with breast cancer undergoing radical mastectomy. Methods A total of 120 patients with radical mastectomy from June to August 2019 in our hospital were selected as control group, given routine psychological intervention, while 120 radical mastectomy patients from September to November 2019 were selected as observation group, given group psychological intervention. The cognitive status of the disease, the degree of psychological disturbance and condition of upper limb exercise before and after the intervention were compared. Results The scores of uncertainty, complexity, unpredictability and lack of information in the observation group were significantly lower than those in the control group(P<0.05). The negative mood score of the observation group was significantly lower, the positive psychological score was significantly higher, and the total score was significantly lower than those of the control group(P<0.05). The superior rate of upper limb function in the observation group was higher than that in the control group, and the rate of upper limb edema was lower than that in the control group, and the differences were statistically significant(P<0.05). Conclusion Group psychological intervention can improve cognition level of breast cancer patients after radical mastectomy, alleviate their psychological disturbance, promote effect of their upper extremity functional exercise, and reduce the occurrence of upper extremity edema.
- group psychological intervention /
- radical mastectomy /
- psychological disturbance /
- upper extremity functional exercise /
- edema of upper extremity

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