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女性乳腺癌患者首次化疗前心理痛苦现状及相关因素

李晨 杨明莹 段文晶 蒋爱梅 黄琪 杨学芳

昆明医科大学学报2018,Vol.39Issue(8):33-38,6.
昆明医科大学学报2018,Vol.39Issue(8):33-38,6.

女性乳腺癌患者首次化疗前心理痛苦现状及相关因素

A Screening of Pre-chemotherapy Psychological Distress in Breast Cancer Patients and An Analysis of the Influencing Factors

李晨 1杨明莹 2段文晶 1蒋爱梅 1黄琪 1杨学芳1

作者信息

  • 1. 昆明医科大学第一附属医院乳腺外科, 云南 昆明 650032
  • 2. 昆明医科大学第二附属医院护理部, 云南 昆明 650101
  • 折叠

摘要

Abstract

Objective To understand the degree of psychological distress of breast cancer patients beford chemotherapy, and to analyze the causes and influencing factors. Methods A cross-sectional study was conducted on 95 patients with prechemotherapy for breast cancer from September 2017 to December 2017 using a general data questionnaire and distress management screening measure. Results The score of psychological pain before chemotherapy of breast cancer was (4.92 ±2.23), among which 69 cases with significant psychological pain accounted for 72.63% (DT score was greater than 4). The main causes of breast cancer patients' psychological distress ranking on the top 10 are: surgical scar, recurrence worry, arm activities difficulty, daily life was disrupted, anxiety, memory loss, housekeeping difficulties, poor communication with her husband, fatigue, change the appearance. Single factor analysis showed that age, family harmony had an effect on psychological pain scores (P<0.05).It is found that family harmony is the protective factor of paychological pain when age and family relationship are included in multifactor analysis (OR>1, P<0.05). Conclusion There is an obvious psychological distress in breast cancer patients before chemotherapy; The age, family harmony of the patient were independent factors related to psychological distress; body symptoms, emotions and family problems are the key issues to focus on before chemotherapy.

关键词

乳腺癌/心理痛苦/心理痛苦温度计

Key words

Breast Cancer/Psychological distress/Distress thermometer

分类

医药卫生

引用本文复制引用

李晨,杨明莹,段文晶,蒋爱梅,黄琪,杨学芳..女性乳腺癌患者首次化疗前心理痛苦现状及相关因素[J].昆明医科大学学报,2018,39(8):33-38,6.

基金项目

云南省科技厅—昆明医科大学应用基础研究联合专项基金资助项目(2015FB042) (2015FB042)

昆明医科大学学报

OACSTPCD

1003-4706

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