宫颈癌患者的心理特点及护理对策

Psychological characteristics analysis of cervical cancer patients and its nursing countermeasures

目的探讨宫颈癌患者的心理特点分析及其护理对策。方法选择宫颈癌患者120例,按数字表法随机分为观察组和对照组,每组60例。对照组患者给予常规护理,观察组患者在常规护理的基础上加护理干预。采用症状自评量表(SCL90)、焦虑自评量表(SAS)、抑郁自评量表(SDS)评定患者治疗前后的状况,采用生活质量测定量表调查患者治疗后的生活质量,比较两组患者的各项指标。结果两组患者治疗前后的心理状况均有明显改善,且观察组患者治疗后的抑郁、焦虑、敌对、恐怖、偏执评分明显低于对照组,观察组患者治疗后在身体功能、角色功能、情绪功能、认知功能、社会功能、总体生活质量6个方面的评分均显著高于对照组。观察组患者治疗后的SAS和SDS评分明显低于对照组,差异均有统计学意义(P<0.05)。结论宫颈癌患者存在不同程度的心理变化,临床治疗过程中合理运用护理干预可有效改善患者的心理状态,提高生活质量,值得临床推广应用。

Objective To explore the psychological characteristic analysis of patients with cervical cancer and its nursing countermeasures. Methods A total of 120 cases patients diagnosed with cervical cancer were choosen,and randomly divided them into observation group and control group,with 60 cases in each group. The control group given routine nursing care,while observation group received nursing intervention on the basis of conventional nursing care. Status of the patients before and after treatment were evaluated by symptom check list 90（ SCL90）,self-rating anxiety scale（ SAS）,self-rating depression scale（ SDS; the quality of life after treatment in two groups of patients were assessd by European Organzation for Research and Treatment of Cancer quality of life-C30（ EORTCQLQ-C30）. The indexs of two groups were compared. Results Psychological status before and after the treatment in two groups were obviously improved; Depression,anxiety,hostility,terror,paranoia scores after treatment in observation group were significantly lower than that in the control group; Physical function,role function,emotional function,cognitive function,social function,the overall quality of life scores after treatment in observation group were significantly higher than that in control group; SAS and SDS score after treatment in observation group were significantly reduced than that in the control group,all with significant difference（ P〈0. 05）. Conclusions Cervical cancer patients had different degrees of mental changes. In the process of clinical treatment,nursing intervention can effectively improve the patients＇ mental state,improve the quality of life,and it is worthy of clinical popularization and application.