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目的探索乳癌病人术后的主要心理负担因素及有效疏导的对策。方法用自编生活事件问卷及ＳＡＳ焦虑自评量表和ＳＤＳ抑郁自评量表，对乳癌术后半年至５年间的７４例病人进行了书面调查，用统计学方法进行处理。结果患者心理负担主要是担心复发、受歧视和自卑感等。其轻重主要与社会支持、文化程度、距手术时间的年限有关，与年龄无显著性差异。结论乳癌术后病人主要心理负担通过普及乳癌的基本知识；让病人感受到有医护人员对自己的重视，亲人的关怀，大部分心理问题能够较快得到解决，少数有较重的焦虑和抑郁症状的病人可请心身科医生参与治疗。
Objective To explore the main psychological burden factors and effective countermeasures for breast cancer patients after surgery. Methods A self-designed life event questionnaire, SAS anxiety self-rating scale and SDS self-rating depression scale were used to conduct a written survey of 74 cases of breast cancer between six months and five years after surgery. Results The patient’s psychological burden is mainly concerned with recurrence, discrimination, and feelings of inferiority. Its severity is mainly related to social support, education level, and the number of years of operation time. There is no significant difference with age. Conclusion The main psychological burden of patients after breast cancer is through the basic knowledge of breast cancer; the patient feels that the medical staff pays attention to them and cares for their loved ones. Most of the psychological problems can be solved quickly, and a few have more severe anxiety and depressive symptoms. The patient may ask the cardiologist to participate in the treatment.