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乳腺癌术后患者心理状态评估及干预策略改进(英文)

查看全文 作  者:Yanjun Zhang Caigang Liu Feng [1]Jin 高影响力作者 机构地区:[1]Breast Cancer Department, Department of Surgical Oncology, General Surgery, First Hospital of China MedicalUniversity, Shenyang 110001, China高影响力机构 出  处:《The Chinese-German Journal of Clinical Oncology》索引2011年第10卷第10期,共4页高影响力期刊 摘  要:Objective: The aim of the study was to investigate the level of self-image of patients after breast cancer surgery, and explore factors influencing self-image among patients who have experienced different types of surgeries, and set out a foundation for the improvement of care strategies. Methods: The 538 patients with primary breast cancer who underwent surgery in the Department of Breast Surgery, First Hospital of China Medical University, Shenyang, China, from January 2004 to January 2009 were included in the study. The psychological status of the patients was evaluated by body image after breast cancer questionnaire (BIBCQ), social support rating scale (SSRS), self-rating anxiety scale (SRAS), depression rating scale (DRS), and general information questionnaire. The factors influencing the self-image were selected by a stepwise regression analysis. Results: The patients who underwent breast-conserving surgery were the most satisfied with their body image, followed by those underwent surgery of modified radical mastectomy with reconstruction. However, cases treated by modified radical mastectomy without reconstruction had negative outcomes. Regardless of operation type, the self-image was influenced by anxiety, level of abuse by husband, and sexual satisfaction after operation. Conclusion: The self-image of patients who underwent different breast cancer surgeries was influenced by different factors, and individualized nursing should be offered in accordance with the specific situation. 关 键 词:乳腺癌 手术 患者 心理评价 护理 逐步回归分析 影响因素 医科大学
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