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目的:乳腺癌所造成的心理影响和冲击,受疾病的诊断和治疗方式、病程与分期、症状和功能反应的不同而各异;尤其是术后的放化疗对患者精神心理障碍和躯体的损害、性身份和性功能及其生活质量的影响。方法:对术后续贯进入肿瘤科继续接受放化疗和中医等辅助治疗的208例乳腺癌妇女,年龄24～83岁,平均47岁;其中88.9%为已婚妇女;受教育程度各水平均衡;接受乳房保留术占10.6%(22例),根除术占89.4%(186例);182例(87.5%)接受化疗,176例(84.6%)接受放疗。15.4%(33例)患者不知道自己所患疾病真相;患病时间为术后1～17年。乳腺癌患者的精神心理状态与人格的评定采用临床晤谈、明尼苏达多项人格问卷(MMPI)和生活事件量表以及基本情况问卷的方法,以SPSS10.0软件为工具进行统计学处理。结果:①MMPI测量结果为40.9%(85例)的患者Hs高于70分,72.6%(151例)的患者D分高于70,38.5%(80例)的妇女Hy分高于70,而Pd高于70占17.8%(37例),Mf高于60占50.0%(104例),但都低于70分;Pa有42.8%(89例)高于70,Pt有54.8%(114例)的人高于70,Sc有76.9%(160例)高于70,17.8%(37例)的患者Ma高于70;201例Si分低于70分,其中58.6%(118例)高于60分。②多元Logistic分析显示,放疗使对Mf(OR=2.01,P=0.03)和Pt(OR=2.81,P=0.01)量表得分增高。结论:放疗是Mf?
Objectives: The psychological impact and impact caused by breast cancer vary depending on the diagnosis and treatment of the disease, the course and stage of the disease, the symptoms and functional response; especially postoperative radiotherapy and chemotherapy on patients with mental disorders and physical damage , Sexual identity and sexual function and their quality of life. Methods: A total of 208 breast cancer women who continued to undergo adjuvant chemotherapy and radiotherapy and chemotherapy and other traditional Chinese medicine after surgery were enrolled in the Department of Oncology. The average age was 47 years old, of whom 88.9% were married women. The level of education was balanced ; Breast conservatism accounted for 10.6% (22 cases), eradication accounted for 89.4% (186 cases); 182 cases (87.5%) received chemotherapy, 176 cases (84.6%) received radiotherapy. 15.4% (33 cases) patients do not know the truth of their illness; sick time for 1 to 17 years after surgery. Mental status and personality assessment of breast cancer patients using clinical interviews, the Minnesota Multiple Personality Questionnaire (MMPI) and life events scale and the basic situation questionnaire methods, SPSS10.0 software as a tool for statistical analysis. Results: (1) Hs was higher than 70 in 40.9% (85 cases) of MMPI patients, and higher than 70 in 72.6% (151 cases) of women with D score higher than 70.38.5% (80 cases) More than 70 accounted for 17.8% (37 cases), Mf higher than 60 accounted for 50.0% (104 cases), but were lower than 70 points; Pa was 42.8% (89 cases) higher than 70, Pt 54.8% (114 cases) Of them were higher than 70, Sc was higher than 70 in 76.9% (160 cases) higher than 70 and 17.8% (37 cases), and 201 cases were lower than 70 points (58.6%, 118 cases) Minute. (2) Multivariate Logistic analysis showed that radiotherapy increased scores of Mf (OR = 2.01, P = 0.03) and Pt (OR = 2.81, P = 0.01). Conclusion: Radiotherapy is Mf?