宫颈癌患者焦虑与抑郁状态心理干预研究.docVIP

宫颈癌患者焦虑与抑郁状态心理干预研究 　　[摘要]目的 探讨心理干预对宫颈癌患者焦虑、抑郁状态的影响。方法 将2012年1月～2016年9月我院妇产科收治的50例宫颈癌患者，随机分为干预组和对照组，每组25例。对照组实施基础护理、生活护理、健康教育等常规护理，干预组在对照组基础上给予心理干预。通过焦虑自评量表（SAS）和抑郁自评量表（SDS）观察两组患者干预前后的SAS、SDS评分，并了解两组患者对护理服务的满意情况。结果 干预后，干预组和对照组的SAS评分[（35.72±7.23）、（46.24±7.76）分]及SDS评分[（31.88±6.55）、（45.24±5.62）分]均低于干预前[（60.16±7.76）、（59.56±8.01）分；（55.72±7.24）、（56.96±7.72）]，且干预组低于对照组，差异均有统计学意义（P0.01）。干预组患者对护理工作满意率为92.0%，高于对照组的68.0%，差异有统计学意义（P=0.034）。结论 心理干预能有效缓解宫颈癌患者的焦虑、抑郁心理状态，提高患者对护理服务的满意度和生活质量。 　　[关键词]心理干预；宫颈癌；抑郁 　　[中图分类号] R473.73 [文献标识码] A [文章编号] 1674-4721（2017）01（c）-0194-03 　　[Abstract]Objective To investigate the influence of psychological intervention on anxiety and depression in patients with cervical cancer.Methods From January 2012 to September 2016，50 patients with cervical cancer treated in our hospital were randomly divided into the intervention group and the control group，and each group had 25 patients.The control group wast given with basic nursing，life care，health education and so on.The observation group was given the psychological intervention on the basis of the control group.According to the self-rating anxiety scale （SAS） and self-rating depression scale （SDS），SAS score and SDS score were observed before and after intervention in two groups，and the satisfaction with nursing service was also observed.Results After intervention，the intervention group and the control group of the SAS score [（35.72±7.23） points，（46.24±7.76） points] and the SDS score [（31.88±6.55） points，（45.24±5.62） points] were lower than those before intervention [（60.16±7.76） points，（59.56±8.01） points；（55.72±7.24） points，（56.96±7.72 points）]，and the intervention group was lower than in the control group，the differences were statistically significant （P0.01）.The nursing satisfaction rate of intervention group was 92.0%，which was higher than that of control group （68.0%），and the difference was statistically significant （P=0.034）.Conclusion The psychological intervention can effectively relieve anxie