心理护理对宫颈癌患者负性情绪及生存质量影响.docVIP

心理护理对宫颈癌患者负性情绪及生存质量影响 　　【摘要】 目的：探讨心理护理对宫颈癌患者抑郁、焦虑情绪及生存质量的影响。方法：选取2012年1月-2014年1月在本院住院的74例宫颈癌患者作为研究对象，采用系统随机抽样法将其分为干预组和对照组，每组37例。对照组接受常规手术、药物治疗和常规护理，干预组在此基础上增加心理护理干预，对两组患者干预前、术后7 d及1个月（复查时）的抑郁、焦虑和生存质量进行评分比较，并对比两组患者对护理服务的满意度。结果：术后7 d及术后1个月，干预组的整体功能、角色功能、情绪功能、认知功能4个评分均明显高于对照组，差异均有统计学意义（P0.05）；干预组患者的SDS、SAS评分均明显低于对照组，差异均有统计学意义（P0.05）。干预组患者对护理服务的满意率为94.6%，明显高于对照组的78.4%，差异有统计学意义（P0.05）。结论：心理护理能有效改善宫颈癌患者抑郁、焦虑情绪，提高其生存质量。 　　【关键词】 宫颈癌； 心理护理； 抑郁； 焦虑； 生存质量 　　【Abstract】 Objective：To investigate the effect of psychological nursing on depression，anxiety and quality of life in patients with cervical cancer.Method：74 patients with cervical cancer in our hospital from January 2012 to January 2014 were selected，they were divided into the intervention group and the control group according to systematic random sampling，37 cases in each group.The control group was given conventional operation，drug treatment and routine nursing care，the intervention group was given psychological nursing intervention on the basis of the control group.The scores of depression，anxiety and life quality between the two groups before intervention，7 days after surgery，1 month after surgery（reexamination） were compared，and compared the nursing service satisfaction between the two groups.Result：Seven days after surgery and one month after surgery，the four scores of overall function，role function，emotional function and cognitive function in the intervention group were significantly higher than those in the control group，the differences were statistically significant（P0.05）.The SDS and SAS scores of the intervention group at seven days after surgery and one month after surgery were significantly lower than those of the control group，the differences were statistically significant（P0.05）.The nursing service satisfaction rate of the intervention group was 94.6%，which was significantly higher than 78.4% of the control group，the difference was statistically significant（P0.05）.Conclusion：Psychological nursing can effe