乳腺癌患者術(shù)后心理干預(yù)的臨床研究(1)

論文編號(hào):HL249 論文字?jǐn)?shù):20757,頁(yè)數(shù):42

論文題目：乳腺癌患者術(shù)后疼痛心里干預(yù)的臨床研究
摘 要
 
 目的：探討對(duì)乳腺癌患者實(shí)施心理干預(yù)的有效性，提高乳腺癌患者的生存質(zhì)量。    
 方法：隨機(jī)選取乳腺癌癌患者100名分為干預(yù)組（實(shí)施心理干預(yù)）和對(duì)照組（給與空白干預(yù)），在鎮(zhèn)痛治療的基礎(chǔ)上,運(yùn)用心理學(xué)技術(shù)，實(shí)施心理干預(yù)，并通過疼痛、焦慮、抑郁三種調(diào)查量表對(duì)心理干預(yù)效果進(jìn)行評(píng)定。干預(yù)前后用生活滿意度評(píng)定量表（LSR）和生活滿意度指數(shù)量表（LSB）及改進(jìn)的生命質(zhì)量評(píng)定量表評(píng)價(jià)生存患者的生命質(zhì)量。而對(duì)照組則處于自行康復(fù)狀態(tài)。統(tǒng)計(jì)分析比較兩組的生存質(zhì)量改變量的差異 。   
 結(jié)果：兩組評(píng)分比較中，在控制了年齡等不均衡因素后，干預(yù)后，干預(yù)組疼痛程度比對(duì)照組顯著減輕（p<0.05）；干預(yù)組疼痛程度比干預(yù)前顯著減輕（p<0.05）。干預(yù)后干預(yù)組與對(duì)照組及干預(yù)組自身前后對(duì)比焦慮程度、抑郁程度差異無(wú)顯著性（p>0.05）。干預(yù)組在各維度評(píng)分都高于對(duì)照組P<0.05或P<0.01。，干預(yù)組在生存質(zhì)量總分、心理狀態(tài)、家庭社會(huì)功能及自我評(píng)價(jià)等方面提高的程度仍高于對(duì)照組P<0.05或P<0.01。心理健康狀況均有不同程度的改善(p<0.01)，焦慮水平也明顯降低(p<0.01) 。  
 結(jié)論：心理干預(yù)可以減輕乳腺癌患者疼痛，提高鎮(zhèn)痛效果，對(duì)乳腺癌患者實(shí)施心理干預(yù)在改善心理健康及焦慮情緒可起到明顯作用。多學(xué)科聯(lián)合的綜合康復(fù)干預(yù)方法有助于乳腺癌患者生存質(zhì)量的提高。
 
 關(guān) 鍵 詞：乳腺癌；心理問題；心理干預(yù)
 
 論文類型：類實(shí)驗(yàn)性研究
 
 
 
Title: breast cancer patients who underwent the heart intervention clinical research
Absrract：
 Objective: to study the implementation of psychological intervention in patients with breast cancer, improve breast cancer patients with the effectiveness of the quality of life.
 Methods: breast cancer patients selected randomly divided into interention group (60 implement psychological intervention) and the control group (give in blank intervention), on the basis of analgesic therapy, using the psychology technology, implement psychological intervention, and through pain, anxiety, depression three survey scale in psychological intervention effect was evaluated. Before and after the intervention using life satisfaction rating scale (LSR) and life satisfaction index scale (LSB) and improvement of life quality rating scale evaluation survival in patients with the quality of life. The control is in itself recovery. Statistical analysis compared between the two groups the life quality of the difference of the amount of change.
 Results: two groups score in the comparison, the age in controlling uneven factors, the interention, intervention group was significantly reduce pain levels than (p < 0.05). Intervention group extent of pain before significantly reduce than intervention (p < 0.05). Interentions intervention ergometry and intervention group itself anxiety, depression compared before and after the non-significance difference (p > 0.05). Intervention group in each dimension scores were higher than those in the control group (P < 0.05) or (P < 0.01). The quality of life, intervention group total score, mental state, family, social function and self appraisal etc increase the degree of still higher than those in the control group (P < 0.05) or (P < 0.01). Psychological health are different degrees of improvement (p < 0.01), anxiety level also decreased obviously (p < 0.01).
  Conclusions: patients with breast cancer, psychological intervention can relieve pain, improve the analgesic effect in patients with breast cancer, implement psychological intervention in improving mental health and anxiety can play a significant role. Multidisciplinary joint comprehensive rehabilitation intervention method helps to improve the quality of breast cancer patients survival.
 
 key words: breast cancer, Psychological problems, Psychological intervention
 Paper type: types of experimental research

目  錄
 

1 緒論 
 １.1、本研究的背景和意義 1
 1.2、本研究的目的和目標(biāo) 2
 1.3關(guān)鍵詞定義 3
 1.4文獻(xiàn)回顧 3
2 研究設(shè)計(jì) 11
 2.1 研究對(duì)象 11
 2.2 研究方法 12
 2.3 研究步驟及技術(shù)路線圖 14
 2.4研究工具 15
 2.5資料分析 15
3 研究結(jié)果 16
4 討論 22
5 推論及建議 25
 5.1推論 25
 5.2建議 25
致    謝 26
參考文獻(xiàn) 27
附    錄 28