综合护理模式对子宫全切术患者焦虑抑郁状况和性生活质量的影响

Effect of integrated care model on hysterectomy patients’anxiety and depression status and on their sexual life quality

目的:探讨综合护理模式对子宫全切术患者焦虑抑郁状况和性生活质量的影响。方法:子宫切除患者80例根据护理参与的不同分为治疗组与对照组各40例,两组都采用硬脊膜外麻醉下的全子宫切除术,对照组接受围手术期的常规护理,治疗组采用积极的综合护理模式。结果:两组护理前SAS与SDS评分对比无明显差异,护理后有明显下降(P<0.05),组间对比也差异明显(P<0.05)。经过调查,治疗组的性生活满意度95.0%明显高于对照组80.0%(P<0.05)。结论:综合护理模式应用于子宫全切术有利于降低应急反应,从而缓解患者焦虑抑郁情况,提高性生活质量。

Objectives： To investigate the effect of integrated care model on anxiety and depression status and sex life qual- ity of hysterectomy patients. Methods： 80 patients with hysterectomy were divided into the treatment group and the control group according to the different nursing care, with 40 cases in each group. The patients in the two groups received hysterectomy under epidural anesthesia. After the surgery, ~he patients in control group received conventional perioperative care while the patients in the treatment group received active integrated care. Results： The SAS and SDS score of the two groups before receiving the nurs- ing care were not significantly different. However, the SAS and SDS score of the two groups largely decreased after the nursing care（ P 〈0. 05 ）, and the difference between the two groups was significant （P 〈0. 05 ）. An investigation showed that the sexual satisfaction rate of the patients in the treatment group （95.0%） was significantly higher than that of the control group （ 80. 0% ） （ P 〈 0. 05 ）. Conclusions： Integrated care model is conducive to decrease the reaction of hysterectomy, and can also help to re- lieve anxiety and depression as well as improve the sexual life quality of patients.