国际麻醉学与复苏杂志   2020, Issue (1): 0-0
    
社会心理因素与乳腺癌术后慢性疼痛
许琦琦, 刘琛, 张芳芳, 赵紫健, 陈耀, 韩园, 曹君利1()
1.徐州医科大学
Psychosocial factors and chronic pain after breast cancer surgery
 全文:
摘要:

慢性疼痛是降低乳腺癌患者术后生存质量的重要原因之一,随着疼痛的生物‑心理‑社会模型的发展,社会心理因素在慢性疼痛发生、发展中的作用逐渐引起研究人员的重视。文章对社会心理因素在乳腺癌患者中的研究情况进行回顾总结,综述与乳腺癌术后慢性疼痛相关的社会心理危险因素及保护因素,介绍疼痛与社会心理紧密联系的生理机制和目前临床常用的心理治疗方法。期望提高临床工作者对乳腺癌患者异常心理的重视程度,并通过采取积极有效的心理干预措施,减少慢性疼痛的发生,改善患者整体预后。

关键词: 乳腺癌; 慢性疼痛; 社会心理; 心理治疗
Abstract:

Chronic pain is one of the important factors that reduces the quality of life in breast cancer patients. With the development of biopsychosocial models of pain, the role of psychosocial factors has gradually attracted the attention of researchers. This article summarizes the latest studies concerning the psychosocial factors of breast cancer patients, reviews the psychosocial risk factors and protective factors related to chronic pain after breast cancer surgery, and introduces physiological mechanisms by which pain is closely associated with social psychology. At last, the psychotherapy currently used in clinical practice were mentioned as well. It is expected that clinicians pay more attention to the abnormal psychological condition of breast cancer patients, so as to reduce the occurrence of chronic pain and improve the overall prognosis of patients by adopting active and effective psychological interventions.

Key words: Breast cancer; Chronic pain; Psychosocial; Psychotherapy