灵性关怀对子宫内膜癌患者负性情绪的影响.docVIP

灵性关怀对子宫内膜癌患者负性情绪的影响 　　[摘要] 目的 研究灵性关怀对子宫内膜癌患者负性情绪的影响。 方法 选择2014年7月～2015年7月广州市妇女儿童医疗中心收治的160例子宫内膜癌患者，采用随机数表法将患者分为研究组和对照组，每组各80例。对照组患者给予常规护理，研究组患者在对照组基础上由心理团队给予灵性关怀，每周2次。两组患者均护理4周。护理前及护理1个月后对两组患者进行汉密尔顿焦虑量表（HAMA）、汉密尔顿抑郁量表（HRSD）、简易应对方式问卷（SCSQ）及健康促进生活方式量表（HPLP-Ⅱ）评分；护理1个月后进行焦虑自评量表（SAS）、抑郁自评量表（SDS）评分。 结果 与护理前比较，护理后研究组的HAMA、HRSD、SCSQ得分明显降低，差异均有统计学意义（P 0.05）；与对照组比较，护理后研究组3项评分明显较低（P 0.05）；与护理前比较，护理后两组HPLP-Ⅱ评分均明显提高（P 0.05）；护理后与对照组比较，研究组患者的HPLP-Ⅱ评分明显更高，差异有统计学意义（P 0.05）；与对照组比较，护理后研究组患者的SAS、SDS评分明显降低，差异有统计学意义（P 0.05）。 结论 实施灵性关怀护理能使子宫内膜癌患者的焦虑抑郁等负性情绪得到有效缓解，使患者的生命质量得到有效提高，值得在临床中推广使用。 　　[关键词] 灵性关怀；子宫内膜癌；负性情绪；影响 　　[中图分类号] R471 [文献标识码] A [文章编号] 1673-7210（2016）04（a）-0170-04 　　Effect of spiritual care on the negative emotion of patients with endometrial cancer 　　SHEN Zhuanxing XU Suting LI Bingyuan DU Qunhao 　　Department of Gynecological Oncology， Guangzhou Women and Childrens Medical Center， Guangdong Province， Guangzhou 510140， China 　　[Abstract] Objective To study the effect of spiritual care on the negative emotion of patients with endometrial cancer. Methods 160 patients with endometrial carcinoma were chosen from July 2014 to July 2015 treated in Guangzhou Women and Childrens Medical Center. According to the random number table， patients were divided into study group and control group， with 80 cases in each group. Patients of the control group were given conventional methods of care， and the study group was given the spiritual care from the team psychological basis on the care of the control group， twice a week. Patients of two groups were given 4 weeks of nursing. Before and 1 month after nursing， patients of the two groups were given Hamilton anxiety scale （HAMA）， Hamilton depression scale （HRSD）， simple coping style questionnaire （SCSQ） and health-promoting lifestyle profile-Ⅱ （HPLP-Ⅱ） scoring； and 1 month after nursing were given the SAS， SDS scoring. Results Compared with before treatment， HAMA， HRSD， SCSQ score of patients in the study group after nursing were