【摘要】 目的根据老年乳腺癌患者的临床特点,分析个体化心理干预在其治疗过程中的临床效果。方法选取2015年1月至2018年5月入院时年龄≥65岁的老年乳腺癌患者306例作为研究对象,随机分为A、B两组,并定期随访至少两年。A组158例为对照组,围手术期给予常规处理,术后根据其病理结果进一步治疗。B组148例为观察组,在对照组基础上,根据其婚姻、经济状况、家庭生活环境、身心特点等,全程采用个体化心理干预治疗。结果 B组患者生存质量较高,且无患者死亡,仅1例患者出现胸壁复发结节,再次手术后好转。A组有2例患者随访期间因远处转移死亡,另外1例发生骨转移,1例发生肝转移。结论对于年龄≥65岁的老年乳腺癌患者,从入院到术后随访全程采取个体化心理干预治疗,可明显改善心晴指数及生存质量,并延长无病生存期(disease-free survival,DFS)。更多还原

【Abstract】 Objective This study aimed to evaluate the effect of individualized psychological intervention on the treatment for elderly patients with breast cancer. Methods Total of 306 breast cancer patients with the age over 65 years old were selected from January 2015 to May 2018 at the People’ s Hospital of Leshan. The patients were randomly divided into two groups and followed up at regular intervals with a minimum of two years. Group A as control group, applied the conventional treatment during perioperative period,and then give further postoperative treatment based on the pathological results group B, a study group which on the basis of group A, adopted individualized psychological intervention according to marriage, economics, living environment, physical and mental characteristics. Results This study revealed that group B had a better quality of lifethan group A,and had none of the patients died. Only one patient subsequently developed recurrent nodules in chest wall, which improved after reoperation. In group A, two patients died of distant metastasis: one patient had bone metastasis, and one patient had liver metastasis. Conclusion For elderly breast cancer patients aged ≥65 years, individualized psychological intervention treatment from admission to postoperative follow-up can significantly improve xinqing index and quality of life, and prolong disease-free survival(DFS).更多还原