摘要
目的观察个性化心理干预对早期宫颈癌患者围术期心理状态及术后康复的影响。方法将2015年9月至2016年8月在郑州大学第三附属医院行手术治疗的180例早期宫颈癌患者分为对照组和观察组,每组90例。对照组患者术前、术后给予常规护理;观察组患者在常规护理的基础上,针对患者的心理社会评估结果给予个性化心理干预。干预前后采用焦虑自评量表(SAS)、抑郁自评量表(SDS)评定2组患者的心理状态;术后3个月采用生活质量评分表(QLQ-C30)评估2组患者的生活质量;术后9个月随访,统计患者性生活恢复情况和护理满意度。结果 2组患者干预前SAS、SDS评分比较差异无统计学意义(P>0.05)。干预后,2组患者SAS、SDS评分均较干预前降低(P<0.05);且观察组患者SAS、SDS评分低于对照组(P<0.05)。术后3个月观察组患者QLQ-C30评定中的躯体功能、角色功能、情绪功能、认知功能和社会功能评分高于对照组(P<0.05);术后9个月,对照组和观察组患者性生活恢复率分别为45.6%(41/90)和72.2%(65/90),性生活满意率分别为65.9%(27/41)和80.0%(52/65);观察组患者性生活恢复率和满意率均高于对照组(χ2=9.764、16.345,P<0.05);观察组患者术后性生活恢复时间短于对照组(P<0.05),护理满意度评分高于对照组(P<0.05)。结论个性化心理干预可改善早期宫颈癌手术患者的心理状态,缩短患者术后性生活恢复时间,提高护理满意度和术后生活质量。
Objective To observe the clinical effect of personalized psychological intervention on the psychological status and postoperative rehabilitation of patients with cervical cancer.Methods From September 2015 to August 2016,180 cases of early cervical cancer in the Third Affiliated Hospital of Zhengzhou University were selected and divided into control group and observation group,with 90 cases in each group.The patients in the control group were given routine nursing care before and after the operation,and the patients in the observation group were given individualized psychological intervention on the basis of routine nursing.The psychological state of the patients in the two groups was assessed by self-rating anxiety scale(SAS)and self-rating depression scale(SDS)before and after intervention,and the quality of life of the patients in the two groups was assessed by quality of life questionnare-core 30(QLQ-C30)at 3 months after operation,and the recovery of sexual life and the satisfaction of nursing care were investigated at 9 months after the operation.Results There was no significant difference in SAS and SDS scores between the two groups before intervention(P>0.05).After intervention,the scores of SAS and SDS in the two groups were lower than those before intervention(P<0.05),and the scores of SAS and SDS in the observation group were lower than those in the control group(P<0.05).The scores of somatic function,role function,emotional function,cognitive function and social function of the QLQ-C30 in the observation group were higher than those in the control group at 3 months after the operation(P<0.05).The rate of sexual life recovery was 45.6%(41/90)and 72.2%(65/90)in the control group and the observation group at 9 months after the operation,and the rate of sexual satisfaction was 65.9%(27/41)and 80.0%(52/65).The rate of sexual life recovery and the rate of sexual satisfaction of the patients in the observation group were higher than those in the control group(χ2=9.764,16.345;P<0.05).Compared with the contro
作者
徐桂梅
朱花华
刘茹
徐贵红
张小安
XU Gui-mei;ZHU Hua-hua;LIU Ru;XU Gui-hong;ZHANG Xiao-an(Department of Postoperative Intensive Care Unit,the Third Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,Henan Province,China;Department of Gynaecology and Obstetrics,the Third Affiliated Hospital of Xinxiang Medical University,Xinxiang 453003,Henan Province,China)
出处
《新乡医学院学报》
CAS
2018年第7期629-632,共4页
Journal of Xinxiang Medical University
基金
河南省科技厅重大科技专项资助项目(编号:161100311100)
关键词
个性化心理干预
宫颈癌
心理状态
术后康复
individualized psychological intervention
cervical cancer
psychological status
postoperative recovery
