做好心理护理,提高妇科癌症患者生活质量.docVIP

做好心理护理,提高妇科癌症患者生活质量 　　【摘要】目的调查影响癌症患者心理状态的因素,通过心理护理提高妇科癌症患者的生活的质量。方法对108例癌症患者进行问卷调查,分为观察组和对照组各54例,对照组进行常规护理,观察组在此基础上采用一对一与患者交谈、心理护理、疾病相关知识指导,满足患者的家庭与社会支持,帮助患者树立战胜疾病的信心,提高生活质量。采用生活质量核心量表(QOL-CO)对患者生活质量进行调查。结果影响癌症患者心理状态的因素主要有恐惧、医疗费用、化疗产生的不良反应、疼痛等。观察组躯体社会心里功能维度的评分均显著优于对照组(?P?　　【关键词】妇科;癌症;心理护理;生活质量 　　Do a good job of the psychology nursing, to improve the gynecological cancer patients life quality.MI Feng-li.(Heze Municipal hospital,Heze 274031,China). 　　【Abstract】ObjecttiveInvestigating the factor in influencing cancer patients psychological condition, the quality of the life of the gynecological cancer patient can be improved through the psychology nursing. MethodCarrying on questionnaire investigation to 108 cancers patient, we divided them into twogroups ( observed the group and controlled group), the controlled group were nursed in the routine way, observed the group were adopted by talking with patients one by one ,on the psychology nursing and the relevant knowledge of disease. to suffice for the family and the society which care about the patient, help the patients to establish the confidence of overcoming disease, and improve them life quality. Adopting the key scale of life quality (QOL-CO) Survey patients life quality. ResultThe factors of the influencing cancer patients psychological condition is mainly in fear, pain produced , hospitalization cost, bad reaction by chemotherapy etc. It is superior to the controlled group notably than to observed score of linking degree of social psychological function of the body(?P??0.05?)? 　　1.2方法? 　　采用问卷调查,对两组患者进行生活质量评估。调查内容包括: 恐惧、医疗费用、治疗效果、肿瘤复发、化疗产生的不良反应、疼痛、家庭及社会支持、形象改变。调查表采用生活质量核心量表(QOL-CO),问卷4个方面:每个方面包括4个因子,共30个条目组成,每项计1~5分,得分越高,表示生活质量越好。? 　　对患者填表时有专人讲解,由患者填写,无能力填写者,调查者按其回答填写。发放问卷 108份,回收有效问卷106份,回收率 96%。? 　　2结果? 　　2.1影响癌症患者心理状态的因素见表1。? 　　由表1可见,影响癌症患者心理状态的因素主要有恐惧、医疗费用、化疗产生的不良反应、疼痛等。两组生活质量(QOL-C30)评分比较,见表2。? 　　2.2针对癌症患者恐惧心理,实施心理护理? 　　多年来, 癌症一直被认为是不治之症,患了癌症就等于判处死刑,患者极度恐惧,害怕死亡,由此产生不良情绪。心理压力大、不良情绪减弱机体免疫力降低,不利于患者身体康复。 因此,我们