风险因素防控干预对宫颈癌患者围手术期负性情绪的影响

Effect of risk factor prevention and control intervention on negative emotions in cervical cancer patients during the perioperative period

目的探讨风险因素防控干预对宫颈癌患者围手术期负性情绪的影响。方法依据围手术期干预方式的不同将85例宫颈癌患者分为对照组(n=43)和观察组(n=42),对照组患者给予常规干预,观察组患者给予风险因素防控干预。比较两组患者的负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、满意度、依从性、生活质量[癌症患者生命质量测定量表-宫颈癌模块(QLICP-CE)]和并发症发生情况。结果干预后,两组患者SAS、SDS评分均低于本组干预前,观察组患者SAS、SDS评分均低于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者满意度、依从性评分均高于本组干预前,观察组患者满意度、依从性评分均高于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者QLICP-CE量表各维度评分均高于本组干预前,观察组患者QLICP-CE量表各维度评分均高于对照组,差异均有统计学意义(P﹤0.05)。观察组患者的并发症总发生率为11.90%,低于对照组患者的30.23%,差异有统计学意义(P﹤0.05)。结论风险因素防控干预可有效缓解宫颈癌患者围手术期焦虑、抑郁情绪,提高治疗满意度和依从性,改善生活质量并减少并发症的发生。

Objective To investigate the effect of risk factor prevention and control intervention on negative emo-tions in cervical cancer patients during the perioperative period.Method A total of 85 cervical cancer patients were di-vided into control group(n=43)and observation group(n=42)based on different perioperative intervention methods.The patients in the control group received routine intervention,while the patients in the observation group received risk factor prevention and control intervention.The negative emotions[self-rating anxiety scale(SAS),self-rating depression scale(SDS)],satisfaction,compliance,quality of life[quality of life instruments for cancer patients-cervical cancer(QLICP-CE)],and incidence of complications were compared between the two groups.Result After intervention,the SAS and SDS scores of both groups were lower than those before intervention,the SAS and SDS scores of the observa-tion group were lower than those of the control group,and the differences were statistically significant(P<0.05).After in-tervention,the satisfaction and compliance scores of both groups were higher than those before intervention,the satisfac-tion and compliance scores of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).After intervention,the scores of all dimensions of the QLICP-CE scale in both groups were higher than those before intervention,the scores of all dimensions of the QLICP-CE scale in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The total incidence of complications in the observation group was 11.90%,which was lower than 30.23%in the control group,and the differ-ence was statistically significant(P<0.05).Conclusion Risk factor prevention and control intervention can effectively al-leviate perioperative anxiety and depression in cervical cancer patients,improve treatment satisfaction,compliance,quali-ty of life,and reduce the occurrence of complications.