心理疼痛护理相结合对宫颈癌患者焦虑抑郁及睡眠质量影响.docVIP

心理疼痛护理相结合对宫颈癌患者焦虑抑郁及睡眠质量影响 　　[摘要]目的 探讨心理、疼痛护理相结合对宫颈癌患者焦虑、抑郁及睡眠质量的影响。方法 选择2013年1月～2015年6月本院收治的中晚期宫颈癌患者80例，将其分为对照组和观察组，各40例，观察组实施重点心理护理联合疼痛护理，对照组实施常规护理，比较两组干预前后焦虑与抑郁评分、治疗依从性、护理满意度、干预后生活质量及睡眠质量。结果 干预后观察组焦虑、抑郁评分低于对照组（P0.05），观察组治疗依从性显著高于对照组（P0.01），护理满意度显著高于对照组（P0.01），干预后观察组生活质量显著优于对照组（P0.01），睡眠质量显著优于对照组（P0.01）。结论 心理护理联合疼痛护理应用于中晚期宫颈癌患者，能显著降低患者焦虑、抑郁心理，提高患者生活质量及睡眠质量。 　　[关键词]心理护理；疼痛护理；宫颈癌；焦虑抑郁；睡眠质量 　　[中图分类号] R473.71 [文献标识码] A [文章编号] 1674-4721（2016）08（a）-0195-03 　　[Abstract]Objective To explore the influence of psychological and pain nursing on anxiety and depression and sleep quality of patients with cervical cancers.Methods Altogether 80 cases of advanced cervical cancer patients who were treated in the hospital between January 2013 to June 2015 were divided into two groups （observation group and control group） with 40 cases in each group.Observation group was implemented with mental nursing，pain nursing；while control group with routine nursing.Post-intervention anxiety，depression scores，treatment compliance，nursing satisfaction and post-intervention life and sleep quality were compared between with two groups.Results Post-intervention anxiety and depression scores in observation group were lower than those of control group （P0.05）；treatment compliance，nursing satisfaction，post-intervention life and sleep quality were significantly higher than those of control group （P0.01）.Conclusion Combination of application of psychological nursing and pain nursing in patients with advanced cervical cancers can significantly reduce the anxiety and depression of patients，and improve the quality of life and sleep quality. 　　[Key words]Psychological nursing；Pain nursing；Cervical cancer；Anxiety and depression；Sleep quality 　　宫颈癌是目前临床最常见的生殖系统恶性肿瘤之一，其发病率占女性恶性肿瘤的50%以上[1]，目前针对宫颈癌的治疗手段不甚理想，较少数能早期发现早期处理，多数患者就诊时已处于中晚期[2]，导致患者易出现各种心理障碍，严重影响患者心理健康及疾病治疗的依从性[3]。同时中晚期患者，部分合并有严重疼痛，而导致生活质量显著下降，甚至焦虑、抑郁[4]，因此针对中晚期宫颈癌患者，实施有效的心理护理并针对疼痛患者实施针对性护理具有积极意义[5]。本研究主要总结近年对于宫颈癌患者实施心理护理联合疼痛护理的临床经验，并分析其对改善患者宫颈癌治疗