目的

探讨心理自助教育对乳腺癌术后患者焦虑和抑郁情绪的干预效果。

方法

将147例行乳腺癌改良根治术后的患者分为试验组（76例）和对照组（71例）。分别于术后1周和术后1个月采用Zung焦虑自评量表（SAS）和Zung抑郁自评量表（SDS）测评其心理状态。对照组采用常规护理和健康教育，试验组在此基础上统一由经过培训的心理专科护士进行心理自助教育，包括每周1次的集体心理辅导和心理调试技巧教育，并发放有关的健康教育手册和音像制品。比较两组患者干预前后焦虑和抑郁情绪的变化。

结果

干预后试验组焦虑和抑郁评分均低于干预前；干预后试验组焦虑和抑郁评分低于对照组；干预后对照组的焦虑和抑郁评分高于干预前，差异均有统计学意义（P<0.05）。

结论

心理自助教育可以缓解乳腺癌术后患者焦虑和抑郁情绪。

Objective

To investigate the effect of the mental self-help education intervention on the emotional state of patients after breast cancer surgery.

Methods

One hundred and forty-seven patients planed to be modified radical mastectomy for breast cancer were divided into experimental group (76 cases)and control group(71 cases)using a random number table.The mental state of those patients were evaluated with Zung self-rating anxiety scale(SAS)and Zung self-rating depression scale(SDS)on one week and one month after the operation.The control group was used conventional care and health education,while the experimental group was taught with mental self-help education by the trained psychological specialist nurses,including collective weekly psychological coun seling and psychological testing skills education and disseminating health education manuals and audio-visual information.The changes were compared between two groups of patients with anxiety and depression before and after interventions.

Results

After the mental self-education,the scores of anxiety and depression in the experimental group were lower than before the intervention.Between the two groups after the mental self-education,the scores of anxiety and depression in the experimental group were lower than the control group.As for the control group,the scores of anxiety and depression after intervention were higher than before,there were statistical differences significance(P<0.05).

Conclusion

The anxiety and depression of patients after breast cancer surgery can be eased by mentalself-education.