认知对乳腺癌 卵巢癌化学治疗患者心理状态的护理干预

Effect of cognitive nursing intervention on the mental health of breast and ovarian cancer patients

目的探讨认知对乳腺癌、卵巢癌化学治疗患者的焦虑情绪及自尊的护理干预,关注其临床效果,以期为临床工作提供理论支持。方法选择乳腺癌、卵巢癌术后化学治疗的患者共120例,依随机的原则分为观察组与对照组各60例。2组均应用常规护理,观察组在常规基础上加用特定的认知护理干预,观察2组干预前、干预后焦虑及自尊评分的差别。结果观察组患者在护理干预后焦虑评分明显下降,自尊评分明显升高,干预效果与患者的配偶状况密切相关。结论对乳腺癌、卵巢癌化学治疗患者应用认知护理干预,能有效缓解焦虑情绪,提高自尊感,对无配偶的患者效果更明显,临床护理中可以积极应用。

Objective To investigate the perception of breast cancer, ovarian cancer chemotherapy in patients with anxiety and self-esteem of nursing intervention, attention to their clinical effects, in order to provide theoretical support for clinical work. Methods One hundred and twenty cases of breast cancer, ovarian cancer patients after chemotherapy were according to the principle of random divided into two groups. Two groups were used the conventional care. Observed group was used specific cognitive nursing intervention. The observed targets were the anxiety and self-esteem score before and after intervention. Results The anxiety scores of observed group were decreased significantly after the intervention, self- esteem scores were significantly higher. The intervention effect was correlated with the Spouse＇s characteristics. Conclusion The cognitive nursing intervention to the breast cancer and ovarian cancer patients with chemotherapy could relax anxiety effectively and improve their self-esteem, and the effects would be more significance to the patients without spouse. So it could be applicated in the clinical nursing.