提高认知与情感智能干预对妇科恶性肿瘤患者的影响

Influence of Improving Cognitive and Emotional Intelligence Intervention' on the Patients with Gynecological Malignant Tumor

目的:探讨提高认知与情感智能干预对改善妇科恶性肿瘤患者不良心理状况及提高生存质量的效果。方法:选择经病理确诊为妇科恶性肿瘤的住院患者96例,随机分为试验组和对照组,各48例。对照组给予常规的心理护理,包括合理使用心理疗法、促进家属亲友间的亲密合作、提供医疗信息、建立良好护患关系,解答患者及家属提问等。试验组增加提高认知与情感智能干预的护理方法。干预前后对2组患者采用Zung's焦虑自评量表(SAS)和抑郁自评量表(SDS)以及生存质量测定量表(WHOQOL-BREF),评估患者心理和生存质量的变化,比较2组护理效果。结果:干预前2组患者心理状况和生活质量评分比较差异均无统计学意义(P>0.05);干预后试验组患者SAS和SDS评分显著低于对照组,差异均有统计学意义(P<0.01),而生活质量评分则显著高于对照组,差异有统计学意义(P<0.01)。结论:提高认知与情感智能干预既能改善妇科恶性肿瘤患者不良心理状况,也能提高生存质量,有利于促进患者康复。

Objective： To study improving the cognitive and emotional intelligence intervention for improving the bad psychological status of patients with gynecological malignant tumor and the effect of improving the quality of survival. Methods： The pathological diagnosis of 96 hospitalized patients with gynecological malignant tumor were randomly divided into experimental group and control group（ 48 patients in each）. The control group was given regular psychological nursing,including the rational use of psychological therapy,to promote close cooperation between the family relatives and friends,to provide health information,establish a good relationship between nurses and patients,to solve the patient and family to ask questions,etc. Experimental group increased the nursing methods of improving cognitive and emotional intelligence intervention. Before and after intervention,Zung＇s anxiety（ SAS） and depression self-rating scale（ SDS） as well as the determination of quality of life questionnaire（ WHOQOL BREF） was used to evaluate patients psychological and the change of the quality of life,nursing effect was compared. Results： Psychological status and quality of life scores had no statistical significance before intervention（ P〈0. 05）. Anxiety（ SAS） and depression（ SDS） score was significantly,lower in experimental group after intervention than that in the control group,the difference had significant difference（ P〈0. 01）,while the quality of life scores were significantly higher than that in the control group,the difference also had significant（ P〈0. 01）. Conclusion： Improve cognitive and emotional intelligence intervention can improve bad psychological status in patients with gynecological malignant tumor,and can also improve the quality of survival,promote patients recover.