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目的观察冰山理论的个性化心理护理在早期乳腺癌患者行保留乳头乳晕改良根治术联合假体置入术围手术期中的应用。方法 94例早期乳腺癌患者,按照入院时间分为对照组和观察组,各47例。两组均行保留乳头乳晕改良根治术联合假体置入术治疗,对照组予以常规护理,观察组在对照组基础上予以冰山理论的个性化心理护理。两组采用抑郁自评量表(SDS)和焦虑自评量表(SAS)评估对比干预后心理状态,采用自制治疗依从性量表评估对比两组治疗依从性。结果干预后观察组SDS评分低于对照组,差异有统计学意义(t=10.521,P=0.000<0.05),干预后观察组SAS评分低于对照组,差异有统计学意义(t=7.787,P=0.000<0.05);观察组治疗依从率高于对照组,差异有统计学意义(χ~2=6.114,P=0.013<0.05)。结论对行保留乳头乳晕改良根治术联合假体置入术的早期乳腺癌患者实施冰山理论的个性化心理护理,可改善患者负性情绪,提高患者治疗依从性。
Objective To observe the application of iceberg theory of personalized psychological nursing in patients with early breast cancer who underwent modified nipple-nipple surgery combined with prosthesis placement. Methods 94 cases of early breast cancer patients were divided into control group and observation group according to admission time, 47 cases in each. The two groups were treated with modified modified radical mastectomy and prosthesis implantation, and the control group was given routine nursing. The observation group was given individualized psychological nursing of iceberg theory on the basis of the control group. Two groups were compared by psychological self-rating scale (SDS) and self-rating anxiety scale (SAS) to compare the psychological status after intervention. The self-made treatment compliance scale was used to evaluate the compliance of the two groups. Results After the intervention, the SDS score of the observation group was lower than that of the control group (t = 10.521, P = 0.000 <0.05). After the intervention, the SAS score of the observation group was lower than that of the control group (t = 7.787, P = 0.000 <0.05). The compliance rate of the observation group was higher than that of the control group (χ ~ 2 = 6.114, P = 0.013 <0.05). Conclusions Personalized mental nursing for patients with early stage breast cancer who retained modified modified radical mastectomy and prosthesis implantation can improve negative emotions and improve patient compliance.