全程优质护理对宫颈癌患者生活质量及焦虑抑郁情绪的影响

Effects of the Whole Quality Care on Quality of Life and Anxiety and Depression in Patients with Cervical Cancer

目的探讨研究全程优质护理在宫颈癌患者生活质量及焦虑抑郁情绪的影响.方法选择到铜川矿务局中心医院妇产科就诊的87例接受化疗的宫颈癌患者分为对照组(42例)及观察组(45例),分别采用常规护理及全程优质护理后检验QOL-C30评分、SAS及SDS评分.结果观察组研究对象较对照组患者功能领域躯体功能、角色功能、认知功能、社会功能、情绪功能有改善,差异有统计学意义(P<0.05),主要症状领域恶心呕吐、疼痛有下降,差异有统计学意义(P<0.05),睡眠、饮食、腹泻较对照组有改善,差异有统计学意义(P<0.05).观察组患者化疗前护理后、化疗结束后SAS评分及SDS评分较对照组有改善,差异有统计学意义(P<0.05),且观察组化疗前护理后、化疗结束后较干预前有改善,差异有统计学意义(P<0.05).结论全程优质护理可显著提高接受化疗的宫颈癌患者生活质量,并缓解焦虑、抑郁情绪.

Objective To study the effects of the whole quality care on the quality of life and anxiety and depression emotion in patients with cervical cancer. Methods Eighty-seven cases of cervical cancer patients receiving chemotherapy were divided into control group（42 cases） and observation group（45 cases）. After accepting the routine nursing and the latest high quality nursing care respectively, QOL-C30 scores,SAS and SDS scores of the two groups were evaluated. Results Compared with the control group, the physical, role,cognitive, social and emotional functions of patients in observation group were improved significantly（P〈0.05）,the incidences of main symptoms including nausea, vomiting and pain were decreased significantly（P〈0.05）,and sleep, diet and diarrhea showed significant improvement（P〈0.05）. The SAS scores and SDS scores of the observation group were better than those of the control group before chemotherapy, after care, and after chemotherapy（P〈0.05）. Before the intervention after chemotherapy, the SAS scores and SDS scores in observation group were improved significantly（P〈0.05）. Conclusion The latest high quality care can significantly improve the quality of life of cervical cancer patients subjected to chemotherapy and relieve anxiety and depression.