聚焦解决模式对宫颈癌根治术患者负性情绪及生活质量影响.docVIP

聚焦解决模式对宫颈癌根治术患者负性情绪及生活质量影响 　　【摘要】 目的：探讨聚焦解决模式对宫颈癌根治术患者负性情绪及生活质量的影响。方法：选取2014年 　　2月-2015年3月在本院行腹腔镜下广泛子宫切除加盆腔淋巴结切除术治疗宫颈癌患者86例，按随机数字表法分为试验组45例和对照组41例，试验组采用聚焦解决模式对患者进行指导，对照组采用传统模式。分别于干预前、干预后15 d采用焦虑自评量表（SAS）、抑郁自评量表（SDS）、生活质量核心问卷（QLQ-C30）评价患者负性情绪和生活质量，并采用本院护理部自制的健康教育效果评价表及护理满意度调查问卷评价患者相关知识掌握情况和护理满意度。结果：干预后15 d，试验组的SAS、SDS评分明显低于对照组，两组比较差异均有统计学意义（P0.05）；试验组的相关知识掌握程度明显优于对照组，护理满意度评分明显高于对照组，两组比较差异均有统计学意义（P0.05）。结论：采用聚焦解决模式对宫颈癌根治术患者进行指导可显著改善其心理状况，减轻负性情绪，提高生活质量。 　　【关键词】 宫颈癌根治术； 聚焦解决模式； 心理； 生活质量 　　【Abstract】 Objective： To discuss the effect of solution focused approach model on negative emotions and quality of life of patients with radical hysterectomy. Method： 86 cervical cancer patients treated with laparoscopic hysterectomy and pelvic lymph node dissection in our hospital were selected from February 2014 to March 2015，they were randomly divided into experimental group for 45 cases and control group for 41 cases.The experimental group was treated with solution focusd approach model and control group was treated with traditional model，the anxiety rating scale （SAS）， self-rating depression scale （SDS） and quality of life questionnaire （QLQ-C30） were used to evaluate the negative emotions and quality of life before and after the intervention respectively，the health education homemade table and nursing satisfaction surveys were used to evaluate the master degree of relevant knowledge and care satisfaction.Result： After the intervention of 15 d，the SAS and SDS scores of experimental group were significantly lower than that of control group， the differences were statistically significant（P0.05）；the master degree of relevant knowledge and care satisfaction scores of experimental group were significantly better than those of control group， the differences were statistically significant（P0.05）.Conclusion： Solution focused approach model used to the nursing of patients with radical hysterectomy， can significantly improve the mental state and quality of life. 　　【Key words】 Radical