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目的:乳腺癌术后行乳腺再造手术对患者心理因素的影响。方法:收集2006年7月～2010年12月在唐山市工人医院乳腺科收治的乳腺癌患者25例,且均进行了术后的延期乳腺再造。在患者行再造术前、术后分别进行心理调查,由专业人员用标准指导语介绍填表方法及注意事项,被试者根据自己的实际情况独立完成。结果:术前患者焦虑自评量表评分为(57.27±10.06)分,行乳腺再造手术后评分为(40.25±11.21)分,两者比较具有统计学意义(P<0.01)。患者术前、术后行症状自评量表评分比较,其中精神病性、偏执、抑郁、人际关系敏感、强迫症状两组间比较,具有统计学差异(P<0.01)。结论:乳腺癌术后患者行乳腺再造手术后,患者心理状况明显改善。
Objective: To investigate the effect of postoperative breast reconstruction surgery on psychological factors in patients with breast cancer. Methods: Twenty-five patients with breast cancer were admitted to Department of Breast Surgery, Tangshan Workers Hospital from July 2006 to December 2010, and all patients underwent postoperative delayed breast reconstruction. Psychological investigation was conducted before and after the operation, and the professionals introduced the method and precautions for filling in the form with standard instructions. The subjects completed independently according to their actual situation. Results: The preoperative anxiety scale was (57.27 ± 10.06) points, and the score of postoperative breast reconstruction was (40.25 ± 11.21) points, both of which were statistically significant (P <0.01). Patients were compared before and after symptom score self-rating scale, of which psychosis, paranoid, depression, interpersonal sensitivity, obsessive-compulsive symptoms between the two groups were statistically significant (P <0.01). Conclusion: The patients underwent breast reconstruction after breast surgery, the patient’s psychological status improved significantly.