目的：：分析不同认知模式的乳腺癌术后患者的心理健康状况。方法：采用前瞻性表格调查方法,描述性研究患者认知模式；应用症状自评量表(SCL-90)、汉密尔顿抑郁及焦虑量表(HAMD,HAMA)评价患者心理健康状况。结果：104例患者,98例(94.2%)完成目标调查。不同认知模式患者在HAMA(P=0.148)、HAMD(P=0.125)阳性构成比不存在统计学差异,在SCL-90诸项因子分均明显(P<0.05)或显著(P<0.01)高于中国常模,且呈现特异分布。结论：乳腺癌术后患者存在明显心理障碍,且表现各不相同。%Objective:To study mental health status of patients with different cognition modes after breast carcinoma surgical operations. Methods:The cognition modes and mental health statuses of the patients were investigated by cognition mode question-naire, symptom checklist90 (SCL-90), Hamilton depression scale (HAMD), and Hamilton anxiety scale (HAMA). Results: A-mong the 104 patients, 98 patients (94. 2%) had been examined in the study. The significant differences of depression and anxiety were not shown in the four cognition mode groups by HAMA&HAMD, while each item score of SCL-90 was significantly higher (P<0. 05) or highly significantly higher (P<0. 01) than the China norm in the four cognition groups with a specific distribution. Conclu-sions:The patients after breast carcinoma surgical operation show various severe psychologic obstacles.
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