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目的 阐述乳腺癌的诊断和治疗所造成的心理应激反应与创伤 ,依年龄、受教育程度、婚姻状况及人格特征和实际生活经历、社会与家庭关系和患者的心理及精神历史的不同而各不相同。方法 乳腺癌妇女精神状态与人格的评定采用临床晤谈、MMPI和生活事件量表以及基本情况问卷的方法 ,以 SPSS1 0 .0软件为工具进行统计学处理。结果 2 0 8例年龄为2 4～ 83岁乳腺癌妇女 ,平均 47岁。平均结婚时间 2 3± 1 1年。受教育程度文盲或小学文化 61人 ,占 2 9.3 % ;初中 5 3人 ,占2 5 .5 % ;高中和大专 5 0人 ,占 2 4.0 % ;大学以上 44人 ,占 2 1 .2 %。患病时间从术后 1个月～ 2 0 4个月 ( 1 7年 )不等。 40 .9%的患者 Hs高于 70分 ,72 .6%的患者 D分高于 70分 ,3 8.5 %的妇女 Hy分高于 70分 ,而 Pd高于 70分 ,占 1 7.8% ,Mf高于60分 ,占 5 0 .0 % ,但都低于 70分 ;Pa有 42 .8%的人高于 70分 ,Pt有 5 4.8%的人高于 70分 ,Sc有 76.9%的人高于 70分 ,Ma则有 1 7.8%的患者高于 70分 ;2 0 8例患者有 2 0 1例 Si分低于 70分 ,有 5 8.6%高于 60分。多因素 Logistic分析结果 ,受教育程度越高、结婚时间越长者 Hy、Pt和 Sc量表值减低 ,与文盲和小学文化相比 ,初中以上各水平 OR分别对 Hy为 0 .72 ,0 .5 1 ,0 .3 7( P=0 .0 3
Objective To describe the psychological stress response and trauma caused by the diagnosis and treatment of breast cancer. According to the differences in the psychological and spiritual history of the patients, according to their age, education level, marital status, personality traits and actual life experiences, social and family relationships and their patients Are not the same. Methods The assessment of mental status and personality of women with breast cancer was carried out using the methods of clinical interview, MMPI and life event scale and the questionnaire of basic situation, and SPSS10.0 software was used for statistical analysis. Results A total of 208 women aged 24 to 83 years old with breast cancer average 47 years old. The average marriage time is 23 ± 11 years. 61 with illiteracy or primary education, accounting for 29.3%; 53 with junior high school, accounting for 25.5%; 50 with high school and college education, accounting for 2.04%; 44 with university or above, accounting for 21.2% . The duration of illness ranged from 1 month to 204 months (17 years). Forty-nine percent of patients had a Hs greater than 70, 72.6% had a D score higher than 70, 38.5% of women had a Hy score higher than 70, and a Pd higher than 70, or 7.88% of Mf Higher than 60 points, accounting for 50.0%, but lower than 70 points; 42.8% of Pa were higher than 70 points, 4.8% of Pt were higher than 70 points, 76.9% of Sc Above 70, 1 7.8% of Ma patients were above 70; in 208 patients there were 210 cases with Si score below 70, with 5 8.6% above 60. Multivariate Logistic analysis showed that the higher the education level and the longer the marriage time, the lower the Hy, Pt and Sc scales. Compared with the illiteracy and primary school cultures, the OR at junior high school was 0.72, 0 respectively. 5 1, 0 .3 7 (P = 0 .0 3