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目的：探讨心理护理对乳腺肿块手术患者围手术期心理状态的影响。方法将84例乳腺肿块患者采用随机数字表法分为两组，均给予常规护理，研究组在此基础上采用针对性心理护理，分别于干预前及干预后15 d 采用焦虑自评量表及抑郁自评量表评估患者的焦虑、抑郁状况，采用生活质量评价量表评定患者的生活质量。结果干预后两组焦虑自评量表及抑郁自评量表评分均较干预前显著下降(P <0.01)，研究组较对照组下降更显著(P <0.01)，干预后两组生活质量评分显著高于干预前(P <0.01)，研究组评分显著高于对照组(P <0.01)。结论对围手术期乳腺肿块患者采用针对性心理护理干预，可显著改善患者的焦虑、抑郁情绪，提高患者术后生活质量，值得临床推广应用。“,”Objective To explore the influences of psychological nursing on perioperative psychological states of surgical patients with breast mass.Methods Eighty-four breast mass patients were assigned to two groups according to random number table,both groups received routine nursing,on this basis re-search group was plus purposeful psychological nursing,anxious and depressive state assessed with the Self-rating Anxiety Scale (SAS)and Self-rating Depression Scale (SDS)before intervention and in the 15th day after intervention,and qualities of life with the Quality of Life Assessment Scale (QLAS).Results After intervention the SAS and SDS scores of both groups lowered more significantly compared with pre-intervention (P <0.01),so did those in research than in control group (P <0.01),the QLAS scores of both groups heightened more significantly (P < 0.01 ),so did that in research than in control group (P <0.01).Conclusion Purposeful psychological nursing for perioperative patients with breast mass could notably improve patients’anxious and depressive emotions,boost patients’post-operative quality of life,deserves clinical popularization and application.