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目的 研究歧视知觉对乳腺癌患者术后不同时期心理状态、行为特征的影响.方法 选取2014年2月—2015年2月于我院门诊复查的265例乳腺癌术后患者作为研究对象.根据术后复查时间的不同分为＜6个月组、6～个月组、13～24个月组与＞24个月组.分别采用Fife与Wright制定的社会影响量表评价患者歧视知觉情况,采用焦虑自评量表(SAS)以及抑郁自评量表(SDS)评价患者心理状态,采用T型心理量表评价患者的心理行为特征.并作相关性分析.结果 术后6个月内、6～12个月、13～24个月乳腺癌患者的歧视知觉评分呈逐渐上升趋势,而在术后24个月后显著下降(P均＜0.05).术后6个月内、6～个月、13～24个月乳腺癌患者的SAS、SDS评分均呈逐渐上升趋势,而在术后24个月后显著下降(P均＜0.05).术后6个月内、6～个月、13～24个月乳腺癌患者的个性特征、情感表现、认知习惯以及潜意识评分均呈逐渐上升趋势,而在术后24个月后显著下降(P均＜0.05).多因素Logistic回顾分析显示,有肿瘤转移(OR=2.17,95％CI=1.23～2.98)、肿瘤直径大(OR=1.87,95％CI=1.02～2.46)、以及复查的时间长(OR=2.55,95％CI=2.08～2.87)是影响歧视知觉评分的独立危险因素(P＜0.05).结论 歧视知觉在乳腺癌患者术后不同时期对心理状态、行为特征均存在不同程度的影响,且患者歧视知觉评分越高,患者心理状态越差,且行为特征明显.“,”Objective To study the influence of discrimination perception on psychological status and behavior characteristics of breast cancer patients at different stages after operation.Methods From February 2014 to February 2015 in author′s hospital outpatient review of 265 postoperative breast cancer patients as the research subjects.They were divided into less than 6 months group,6～12 month group,13～24 months group and more than24 months group according to the different postoperative time.The social impact respectively by Fife and Wright draw up the scale was used to evaluate the patients′perceived discrimination;the self-rating Anxiety Scale (SAS) and self-rating Depression Scale (SDS) were selected to evaluate the psychological state of patients;and psychological and behavioral characteristics patients were evaluated by T psychological scale.The correlation analysis was performed.Results At 6 months after the operation,6 to 12 months,the patients ranged from13 to 24 months of breast cancer discrimination score increased gradually, and in 24 months after operation decreased significantly (P ＜0.05).Within 6 months after operation,the SAS and SDS scores of patients with breast cancer at 6～12 months and 13～24 months increased gradually, but decreased significantly after 24 months (all P＜0.05).The patients with breast cancer,from6 months after the operation,6 to 12 months,and 13 to 24 months,showed a rising trend on personality,emotion, cognitive habits and subconscious scores,and at 24 months after operation decreased significantly (P＜0.05).Multivariate logistic regression analysis showed that tumor metastasis (OR=2.17,95％CI =1.23-2.98),tumor diameter (OR=1.87,95％CI =1.02-2.46),95％CI =2.08-2.87) were independent risk factors influencing discrimination perception score (P ＜0.05).Conclusion Perceived discrimination in patients with breast cancer after operation on psychological state of different periods,there are behavioral characteristics of different degrees of impact,and with the patients perceived discrimination is higher,the psychological state of patients is more poor behavior,and obvious characteristics.