健康教育对子宫广泛切除术患者不良情绪状态的干预效应

Interventional efficacy of health education in the ill emotion of patients after extensive hysterectomy

目的:子宫广泛切除术患者有较强的焦虑、抑郁情绪状态,研究其发病的影响因素及健康教育对患者情绪状态的干预效应。方法:选择对象为2003-01/2003-12在焦煤集团中央医院、地区人民医院就诊确诊为癌症并经子宫广泛切除术后的患者80例,进行集体授课和单独面谈形式的健康教育,并对健康教育前后患者不良情绪程度变化的结果进行对比。①分析影响子宫广泛切除术患者焦虑抑郁情绪发生的相关因素。②采用焦虑自评量表、抑郁自评量表调查健康教育干预前后患者不良情绪状态程度评分。③采用诺丁汉健康量表,评估健康教育干预前后患者的生活质量评分。结果:80例患者均进入结果分析。①子宫广泛切除术患者焦虑、抑郁的发生与职业、文化程度、家庭关系及经济条件、疾病的严重程度有明显的关系(χ2=4.45～10.79,P均<0.05)。②患者焦虑、抑郁情绪,健康教育干预前后正常、轻度、中度、重度分别有8,11,38,23和49,15,15,1例(χ2=91.76,P<0.05)。③诺丁汉健康量表评定健康教育干预前后结果表明患者的精力(7.7±1.6,6.0±2.1)、疼痛(2.6±0.5,2.1±0.3)、情感(3.9±0.6,3.2±0.7)、睡眠(9.7±2.2,8.0±2.6)、社会活动(1.8±0.4,1.2±0.3)、身体活动(2.4±0.5,1.6±0.5)等相关指标也有明显的改善(t=1.99～10.12,P<0.05～0.01)。

AIM: Patients after extensive hysterectomy have serious emotions of anxiety and depression.This paper investigates the influencing factor of its attack and the interventional efficacy of healthy education on the emotional state of the patients.METHODS: Eighty patients, who were diagnosed to have cancer and had received extensive hysterectomy in the central hospital of Jiaozuo Coal Group and people's hospital from January to December 2003, received health education by means of collective class and alone interview,the changes of the ill emotional degree of the patients before and after health education were compared.The related factors that influenced the occurrence of anxiety and depression of the patients after extensive hysterectomy were analyzed. The scores of ill emotional degree of the patients were investigated with the self-rating anxiety scale (SAS) and self rating depressive scale (SDS) before and after the intervention of health education respectively. The quality of life of the patients was assessed by the Nottingham healthy scale (NHS) before and after the intervention of health education respectively.RESULTS: All the 80 patients were involved in the final analysis. ①The occurrences of anxiety and depression in patients after extensive hysterectomy were obviously correlated with their profession, educational levels, family relationship, economic condition and the severity of disease (χ2=4.45 to 10.79, P< 0.05).②Normal, mild, moderate and severe anxiety and depression of the patients occurred in 8, 11, 38 and 23 before health education, but in 49, 15, 15 and 1 case after health education (χ2=91.76,P< 0.05). ③The results of NHS showed that the scores of energy (7.7±1.6, 6.0±2.1), pain (2.6±0.5, 2.1±0.3), emotion (3.9±0.6, 3.2±0.7), sleep (9.7±2.2, 8.0±2.6), social activity (1.8±0.4, 1.2±0.3), and physical activity (2.4±0.5, 1.6±0.5) of patients were obviously ameliorated after the intervention of health education(t=1.99 to 10.12, P< 0.05 to 0.01).CONCLUSION:Profession, educational levels, family relationship, economic condition and the severity of disease of patients after extensive hysterectomy can lead to the occurrences of anxiety and depression.