女性尖锐湿疣患者的心理分析及护理对策

Psychological analysis and nursing countermeasures of female patients with condyloma acuminatum

目的:分析女性尖锐湿疣患者的心理情况及相应的护理措施,评价护理的疗效,探讨其临床适用性。方法:选择从2011年1月1日～2011年12月31日于我科就诊的219例女性尖锐湿疣患者,采用随机数字表的方法,分为实验组110例和对照组109例,对照组实施常规的护理干预,实验组给予人性化护理干预措施。观察患者的心理改变情况,治愈率及满意度调查。结果:大部分患者存在一定的恐惧、焦虑、多疑和忧郁情绪,两组患者治疗前心理存在的问题无明显差异(P>0.05),但治疗2个月后实验组患者各种心理状况的人数与对照组相比明显减少,差异均有统计学意义(P<0.05),且实验组治愈率达97.3%,较对照组取得了更为满意的治愈率,差异有统计学意义(χ2=16.5,P<0.05),也取得了较高的满意度,满意度达98.2%,与对照组比较,差异也有统计学意义(χ2=58.7,P<0.05)。治疗后实验组患者中仅有4例复发,而对照组患者中25例患者病情反复,两组复发率比较,差异也有统计学意义(χ2=30.9,P<0.05)。结论:对于女性尖锐湿疣患者应尽可能了解其心理情况并采取人性化的护理干预措施可以达到更高的治愈率和依从性,且可收到较高满意度,适合临床长期推广应用。

Objectives： To make psychological analysis of female patients with condyloma acuminatum and to take appropriate care measures to evaluate the efficacy of care, and to discuss its clinical applicability. Methods： We selected 219 cases of female condyloma acuminatum patients who were treated in our hospital from January 1, 2011 to 2011, and divided them into the experimental group （110 cases） and the control group （109 cases）. The control group was given the routine nursing intervention and the experimental group was given the humanistic nursing intervention. We observed the psychological changes, the curative rate and the satisfaction rates. Results： The majority of the patients were found to experience fear, anxiety, paranoia and depression. The two groups showed no significant difference （P 〉 0. 05） before the treatment, but after 2 months of treatment, the experimental group showed signiilcandy less psychological condition （P 〈0. 05）. The curative rate in the experiment group was 97.3%, significantly higher than the control group （χ2 = 16. 5, P 〈 0. 05）. The satisfaction rate of the experiment group also achieved a higher level （98.2%） as compared with the control group, the difference was statistically significant （χ2= 58. 7, P 〈 0. 05）. Only four cases of relapse occurred in the experimental group and 25 patients in the control group had the reoccurence, the difference being statistically significant （χ2 = 30. 9, P 〈 0. 05）. Conclusions： For female patients with condyloma acuminatum, medical professionals should take great care to understand their psychological situation and to provide humane care interventions in order to achieve higher curative rate and compliance.