摘 要
乳腺癌是全球女性最常见的恶性肿瘤之一，其术后心理康复问题日益受到关注。本研究旨在探讨乳腺癌患者术后心理康复的影响因素及干预策略，为临床实践提供科学依据。研究采用前瞻性队列设计，选取200例乳腺癌术后患者，通过心理评估量表、社会支持评定量表及生活质量问卷进行为期12个月的随访调查。同时，将患者随机分为干预组和对照组，干预组接受个体化心理干预联合社会支持强化方案。结果显示，术后患者普遍存在焦虑、抑郁等心理问题，且心理状态与社会支持水平显著相关（P0.05）。干预组患者的焦虑、抑郁评分显著低于对照组，生活质量各项指标明显改善（P0.01）。研究表明，个体化心理干预结合社会支持强化可有效促进乳腺癌患者术后心理康复，提高其生活质量。本研究创新性地提出了一种多维度综合干预模式，为乳腺癌术后心理康复提供了新思路和可行方案。关键词：乳腺癌术后; 心理康复; 个体化心理干预
Abstract
Breast cancer is one of the most common malignant tumors among women globally, and postoperative psychological rehabilitation has increasingly drawn attention. This study aimed to explore the influencing factors and intervention strategies for psychological rehabilitation after breast cancer surgery, providing a scientific basis for clinical practice. A prospective cohort design was employed, recruiting 200 patients who had undergone breast cancer surgery. These patients were followed up for 12 months using psychological assessment scales, social support rating scales, and quality of life questionnaires. Simultaneously, patients were randomly divided into an intervention group and a control group, with the intervention group receiving personalized psychological interventions combined with enhanced social support. The results indicated that postoperative patients commonly experienced psychological issues such as anxiety and depression, and their psychological status was significantly correlated with the level of social support (P0.05). Patients in the intervention group exhibited significantly lower scores for anxiety and depression compared to the control group, along with marked improvements in various indicators of quality of life (P0.01). This study demonstrated that personalized psychological interventions combined with enhanced social support can effectively promote psychological rehabilitation and improve the quality of life for breast cancer patients after surgery. Innovatively, this research proposed a multidimensional comprehensive intervention model, offering new insights and feasible solutions for postoperative psychological rehabilitation in breast cancer patients.
Key words:Breast Cancer Post-Surgery; Psychological Rehabilitation; Individualized Psychological Intervention
中文摘要 I
英文摘要 II
引 言 1
第1章、术后心理康复的理论基础 2
1.1、心理康复的概念与意义 2
1.2、乳腺癌患者的心理特征分析 2
1.3、理论框架与研究假设 3
第2章、心理康复干预模式的研究 4
2.1、干预模式的设计原则 4
2.2、常见心理康复干预方法 4
2.3、干预模式的可行性评估 4
第3章、术后心理康复的临床实践 6
3.1、患者心理状态的评估方法 6
3.2、心理康复在临床中的实施路径 6
3.3、实践中遇到的挑战与应对策略 7
第4章、心理康复效果的评价与优化 8
4.1、康复效果的量化指标体系 8
4.2、数据分析与结果解读 8
4.3、效果优化的方向与建议 9
结 论 10
参考文献 11
