首页|期刊导航|中外医学研究|乳腺癌改良根治术后患者心理资本现状的影响因素及心理干预对策

乳腺癌改良根治术后患者心理资本现状的影响因素及心理干预对策OA

Factors Related to the Current Status of Psychological Capital of Patients After Modified Radical Mastectomy and Psychological Intervention Countermeasures

中文摘要英文摘要

目的:分析乳腺癌改良根治术(MRM)患者术后心理资本现状的相关因素并构建心理干预对策.方法:回顾性分析2022 年 1 月—2024 年 6 月福建医科大学附属第二医院收治的 156 例MRM术后患者临床资料,依据积极心理资本问卷(PPQ)评分分为消极组与积极组,收集并对比研究对象临床资料,将存在差异的指标进行logistic回归分析,探究影响患者心理资本现状的相关因素,并针对相关影响因素构建心理干预对策.结果:根据PPQ评分进行分组,119 例患者PPQ评分≥120 分(积极组);37例患者PPQ评分<120 分(消极组).两组术后并发症、正念水平、创伤成长、社会限制方面对比,差异有统计学意义(P<0.05).logistic回归分析结果表明,术后并发症、正念水平、创伤成长、社会限制是MRM术后患者心理资本是否积极的影响因素.结论:影响MRM患者术后积极心理资本水平的相关因素包括术后并发症、正念水平、创伤成长、社会限制,通过分析上述因素筛查出高危群体,能够为临床制定防治方案提供有力支持.

Objective:To analyze the factors related to the current status of postoperative psychological capital of patients undergoing modified radical mastectomy(MRM)for breast cancer and to construct psychological intervention countermeasures.Method:To retrospectively analyze the clinical data of 156 postoperative MRM patients admitted to the Department of Breast Surgery of the Second Affiliated Hospital of Fujian Medical University from January 2022 to June 2024,the patients were divided into the negative group and the positive group according to the score of the positive psychological capital questionnaire(PPQ).The clinical data of the research subjects were collected and compared,and logistic regression analysis was conducted on the indicators with differences to explore the relevant factors influencing the current status of patients'psychological capital,and psychological intervention countermeasures were constructed for the relevant influencing factors.Result:According to the PPQ score,119 patients had a PPQ score of≥120.There were statistically significant differences between the negative group and the positive group in terms of postoperative complications,mindfulness levels,trauma growth,and social restrictions(P<0.05).The difference items were calculated by logistic regression,and the results showed that postoperative complications,level of positive thinking,traumatic growth,and social restriction were the factors influencing whether the psychological capital of MRM patients was positive or not after surgery.Conclusion:The relevant factors affecting the level of positive psychological capital of MRM patients after surgery include postoperative complications,positive thinking level,traumatic growth,and social restriction,and screening the high-risk group by analyzing the above factors can provide strong support for the clinical development of prevention and treatment programs.

汤燕琪;晓源;李倩倩;陈月妹

福建医科大学附属第二医院 福建 泉州 362018福建医科大学附属第二医院 福建 泉州 362018福建医科大学附属第二医院 福建 泉州 362018福建医科大学附属第二医院 福建 泉州 362018

乳腺癌改良根治术心理资本影响因素心理干预对策

Breast cancer modified radical mastectomyPsychological capitalInfluencing factorsPsychological intervention countermeasures

《中外医学研究》 2026 (1)

9-12,4

10.14033/j.cnki.cfmr.2026.01.003

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