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目的 探讨"音乐氧吧"对乳腺癌患者术后早期康复期心理弹性的影响.方法 选择2016年2—7月首次行乳腺癌改良根治术患者180例,随机分为观察组和对照组,每组各90例.对照组由经培训的个案护理师在患者床边进行单独的术后康复指导;观察组在对照组基础上,术后第1天开始每天上午、下午增加"音乐氧吧"集体康复指导及答疑,出院后每周邀请参与"音乐氧吧".干预前后采用自我韧性量表(CD-RISC)评估两组患者术后早期康复期间心理弹性.结果 干预后4周,观察组患者心理弹性量表各条目得分均高于对照组,其中我能实现自己的目标条目(2.44±0.59)分,我不会因失败而气馁(2.39±0.61)分,差异均有统计学意义(t值分别为3.10,1.98;P<0.05).结论 实施"音乐氧吧"可以为乳腺癌术后患者提供有效的社会心理支持,能够改善患者术后早期康复期的心理弹性.

Objective To investigate the effect of "music oxygen bar" on resilience in patients at early breast cancer postoperative rehabilitation stage.Methods From February 2016 to July 2016,180 patients with breast cancer modified radical mastectomy were randomly divided into observation group and control group, with 90 in each group. In the control group,rehabilitation guidance from case trained nurses separately at the patient's bedside after surgery. In the observation group,on the basis of the control group,patients at the first day of morning,afternoon add one "music oxygen bar",collective rehabilitation guidance and answering questions;after discharge,each week patients received review and invited to participate the "music oxygen bar". Before and after the interventions after operation,patients were investigated by Connor-Davidson Resilience Scale (CD-RISC) to evaluate self-resilience in two groups patients.Results After 4 weeks intervention,the scores of observation group were higher than that of control group in all items of CD-RISC,with self-fulfillment was (2.44±0.59),no discouragement at fail (2.39±0.61)(t=3.10,1.98;P<0.05).Conclusions The implementation of the "music oxygen bar" for breast cancer patients can provide effective psychological support,and improve psychological resilience for the early postoperative rehabilitation patients.