心理护理对宫颈癌患者焦虑与抑郁状态的影响.docVIP

心理护理对宫颈癌患者焦虑与抑郁状态的影响 　　[摘要] 目的 探讨心理护理干预对宫颈癌患者焦虑与抑郁状态的影响。 方法 采用随机数字表法将96例宫颈癌患者分为两组，对照组采用常规护理，观察组给予常规护理联合心理护理。采用焦虑、抑郁自评量表进行评分，并了解两组患者对护理的满意度。 结果 护理后观察组焦虑评分为（34.3±9.5）分，对照组的焦虑评分为（49.3±9.7）分，两组进行统计分析，差异有统计学意义（P0.01）；常规护理后患者抑郁评分为（48.4±11.2）分，心理护理后患者抑郁评分为（35.3±10.2）分，两组比较差异有统计学意义（P0.01）。观察组患者对护理质量满意度为97.92%，对照组患者对护理质量满意度为81.25%，差异有统计学意义（x2=5.47，P0.05）。 结论 心理护理可改善宫颈癌患者的焦虑、抑郁状态，提高患者对护理质量的满意度，在临床上有较高的应用价值。 　　[关键词] 心理护理；宫颈癌；焦虑；抑郁 　　[中图分类号] R473.71 [文献标识码] B [文章编号] 2095-0616（2013）24-143-02 　　Effect of psychological care on anxiety and depression in patients with uterine cervix cancer 　　LU Yuee LI Xiaohui HE Yunyi GAO Mulan 　　Peoples Hospital of Gaoyao， Zhaoqing 526040， China 　　[Abstract] Objective To investigate the effect of psychological care on anxiety， depression in patients with uterine cervix cancer. Methods 96 patients with uterine cervix cancer were divided into two groups with random digits table. The control group was given usual care， the observation group received usual care and psychological care. Scores of anxiety， depression and satisfaction of nursing quality were recorded. Results Score of anxiety after care in observation group was （34.3±9.5）， better than（49.3±9.7）in control group（P0.01）.Score of depression after care in observation group was（35.3±10.2）， lower than （48.4±11.2）in control group（P0.01）. The satisfaction of nursing quality in observation group was 97.92%， higher than 81.25% in control group（x2=5.47，P0.05）. Conclusion Psychological care can improve the anxiety， depressive state in patients with uterine cervix cancer，and increase the satisfaction of nursing quality.It is worth promoting in clinical applications. 　　[Key words] Psychological care； Uterine cervix cancer； Anxiety； Depression 　　宫颈癌是目前世界上最常见的妇科肿瘤之一，而且有年轻化趋势，一旦确诊，对患者来说是严重的打击，随之而来的是对肿瘤的恐惧，根治术是目前治疗宫颈癌的重要手段，但大多数患者会在术后出现不同程度焦虑、抑郁状态，甚至会产生轻生的负面心理，加重患者的身心负担[1]。心理护理是指护士在护理过程中通过自己的行为、举止言语、态度等，影响患者的心理状态，使患者进一步积极配合治疗，促进疾病的的恢复。大量文献已证明心理护理在某些方面可以增加或者提高患者的主观能动性，让患者心态及状况处于比较好的水平。另一方面心理护理可以减少病痛对