摘要
目的探讨子宫肌瘤行子宫全部切除患者手术前后的心理、生活质量变化,评估心理干预的效果。方法对照组给予常规护理措施,干预组在此基础上给予有针对性的心理干预。采用焦虑自评量表、抑郁自评量表、世界卫生组织生活质量测定量表-100在患者入院时、术前1d、术后6个月进行效果测评。结果(1)入院时两组焦虑、抑郁、生活质量得分的差异无统计学意义(P>0.05);术前、术后半年干预组的焦虑、抑郁评分低于对照组(P<0.01);(2)心理干预半年后,干预组总的健康状况及精力、睡眠、性生活等10项得分显著优于对照组(P<0.01);对照组术后半年与入院时比较,注意力、自尊、性生活、总的健康状况等9个项目得分明显改善(P<0.01),干预组术后半年与入院时比较,疼痛、精力、睡眠等11个项目得分明显改善(P<0.01)。结论子宫全切患者存在异常心理,心理干预有助于减少甚至解除手术引起的焦虑、抑郁,并且对患者术后性生活、自尊、身材与相貌、人际关系、社会支持等生活质量改善有明显的调适作用。
Objective To explore the change in women＇s mentality, life quality after and before total hysterectomy of sarcoma of uterus and thus to assess the effect of psychological intervention. Methods The control group was offered conventional nursing, while the intervention group was, on the basis of conventional nursing, offered directed psychological interventions. By means of Self- Rating Anxiety Scale（SAS）, Self-rating Depression Scale（SDS） and the World Health Organization Quality of Life Assessment（WHO- QOL）, an assessment was made at the time of their admission, one day before their surgery and six months after the operation. Results （1） At the time of admission, there was no significant difference between the two groups in terms of anxiety, depression and quality of life （P〉0.05）; before operation and half year after surgery, the scores of anxiety and depression among the intervention group were lower than those of the control group（P〈0.01）. （2） After six months of psychological intervention, general health conditions as well as energy, sleep, and sexual life in the intervention group were distinctly better than those of the control group （P〈0.01）. Six months after the operation, scores of the control group improved greatly in terms of nine items, including concentration, self-esteem, sexual life, general health conditions and etc（P〈0.01） compared with their scores when first admitted to the hospital, while half a year after operation, the intervention group＇s scores of eleven items, including pain, energy, sleep and etc were significantly higher than when they were admitted to the hospital（P〈0.01）. Conclusion Women undergone total hysterectomy are abnormal in their mentality. Psychological intervention is beneficial for relieving Or even eliminating anxiety and depression caused by operation, and it has a significant impact on adjusting patients＇ quality of life like sexual life, self-esteem, figure, feature, interpersonal relationship as well as social su
出处
《护理学报》
2009年第16期70-73,共4页
Journal of Nursing（China）
基金
佛山市卫生局科研立项(2005001)
关键词
子宫肌瘤
子宫全切术
性心理
心理干预
生活质量
sarcoma of uterus
total hysterectomy
sexual mentality
psychological intervention
quality of life
