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目的探讨护理干预措施对乳腺癌患者术后心理及性生活的影响。方法选取余姚市人民医院2013年2月—2016年2月收治的乳腺癌患者80例,随机分为对照组(n=36)和观察组(n=44)。对照组患者给予常规护理,观察组患者在对照组基础上给予护理干预。比较两组患者干预前后Zung焦虑自评量表(SAS)评分和抑郁自评量表(SDS)评分及性生活质量评分(性欲、性唤起时间、性高潮、性行为异常和射精时间)。结果干预前,两组患者SAS评分、SDS评分及性欲、性唤起时间、性高潮、性行为异常和射精时间评分比较,差异无统计学意义(P>0.05);干预后,观察组患者SAS评分、SDS评分低于对照组,性欲、性唤起时间、性高潮、性行为异常和射精时间评分高于对照组(P<0.05)。结论护理干预可明显改善乳腺癌患者术后焦虑、抑郁心理状况,并可在一定程度上改善患者的性生活质量。
Objective To investigate the effect of nursing intervention on postoperative psychology and sexual life of breast cancer patients. Methods 80 patients with breast cancer who were treated in Yuyao People’s Hospital from February 2013 to February 2016 were randomly divided into control group (n = 36) and observation group (n = 44). Patients in the control group were given routine care. Patients in the observation group were given nursing intervention on the basis of the control group. The scores of Zung anxiety self-rating scale (SAS) and self-rating depression scale (SDS) and sexual life quality score (libido, sexual arousal time, orgasm, sexual behavior abnormality and ejaculation time) were compared between the two groups before and after intervention. Results Before the intervention, SAS scores, SDS scores and sexual desire, sexual arousal time, orgasm, sexual behavior abnormalities and ejaculation time scores of two groups had no significant difference (P> 0.05). After intervention, SAS scores , The score of SDS was lower than that of the control group, the sexual desire, sexual arousal time, orgasm, sexual behavior abnormality and ejaculation time score were higher than the control group (P <0.05). Conclusion Nursing intervention can significantly improve postoperative anxiety and depression of breast cancer patients, and can improve the quality of sexual life of patients to some extent.