妇科恶性肿瘤患者心理状态调查及其护理策略探讨

Investigation of psychological status and nursing strategy of patients with gynecological malignant tumor

目的:调查妇科恶性肿瘤患者的心理状态,并探讨护理策略的干预效果。方法:应用症状自评量表(SCL-90)调查79例妇科恶性肿瘤患者的心理状态,并给予其综合护理干预,比较患者护理干预前后的SCL-90评分变化。结果:护理干预前79例患者SCL-90中躯体化、焦虑、抑郁、恐怖、人际关系敏感、敌对和偏执等7项因子得分均明显高于国内常模值(P<0.05),而护理干预后,上述各项因子得分显著降低,与护理干预前比较差异有统计学意义(P<0.05)。结论:妇科恶性肿瘤患者普遍存在躯体化、焦虑、抑郁、恐怖、人际关系敏感、敌对和偏执等不良心理,在治疗同时给予相应护理干预措施能有效改善其不良心理状态,提高生存质量。

Objective：To investigate the psychological state of patients with gynecologic malignancy and to explore the effect of nursing intervention strategies.Methods：Apply SCL-90 to survey the psychological states of 79 cases of patients with gynecologic malignancies, and provide them comprehensive nursing intervention. Compare the changes of SCL-90 scores between before and after intervention.Results：The scores in somatization, anxiety, depression, terror, interpersonal sensitivity, hostility and paranoia of 79 patients before nursing intervention were significantly higher than the national norm values （P〈0.05）. The scores of above-mentioned decreased Significantly after nursing intervention （P〈0.05）.Conclusion：Somatization, anxiety, depression, terror, interpersonal sensitivity, hostility, paranoia and other adverse mood were prevalent on the patients with gynecologic malignancy. Appropriate nursing interventions can improve their bad mental state,and improve the quality of life.