针对性心理护理对腹腔镜子宫内膜癌患者术后心理状态及生活质量的影响

Effect of targeted psychological nursing on postoperative psychological status and quality of life of the patients with endometrial carcinoma under laparoscopy

目的 探讨对腹腔镜子宫内膜癌患者行心理护理干预对患者术后心理状态及生活质量的影响。方法 选取我院2013年1月~2016年1月收治的腹腔镜子宫内膜癌患者64例,采用随机数字表法分为心理干预组和对照组,每组各32例。对照组患者采用常规护理,心理护理干预组在对照组的基础上采用有针对性的心理护理干预措施,比较两组患者干预前后的SAS、SDS评分及生活质量功能领域、症状领域评分的变化。结果 心理护理干预组干预前的SAS评分、SDS评分分别与对照组比较,差异无统计学意义,干预后,心理护理干预组和对照组的SAS评分、SDS评分分别比干预前比较明显降低,且心理护理干预组干预后的SAS评分、SDS评分分别显著低于对照组,差异有统计学意义（P〈0.05）。心理护理干预组干预前的生活质量功能领域评分、症状领域评分分别与对照组比较,差异无统计学意义,干预后,心理护理干预组和对照组的生活质量功能领域评分与干预前比较显著升高,症状领域评分与干预前比较显著降低,且心理护理干预组干预后生活质量各项评分较对照组改善更显著,差异有统计学意义（P〈0.05）。结论 对腹腔镜子宫内膜癌患者行有针对性的心理护理干预,有利于缓解患者的术后焦虑、抑郁心理及提高患者的生活质量。

Objective To investigate and analyze the effects of psychological nursing intervention on the postoperative psychological status and quality of life of patients with endometrial carcinoma under laparoscopy. Methods A total of64 patients with laparoscopic endometrial carcinoma who were admitted to our hospital from January 2013 to January2016 were selected. They were randomly divided into the psychological intervention group and the control group according to the method of random number table, with 32 cases in each group. Patients in the control group were given regular nursing care, and psychological nursing intervention group was given targeted psychological nursing interventions on the basis of the control group. The SAS and SDS scores of the two groups were compared before and after the intervention, and the scores of function and symptom domain of the quality of life in the two groups were compared before and after the intervention. Results The SAS score and SDS score in the psychological nursing intervention group before intervention were compared with the control group, the differences were not statistically significant. After the intervention, the SAS score and SDS score in the psychological nursing intervention group and control group were significantly lower than those before the intervention. The scores of SAS and SDS in the psychological intervention group after the intervention were lower than those in the control group, and the differences were statistically significant（P〈0.05）.There were no significant differences in the scores of functional domain and symptom domain of the quality of life between the psychological nursing intervention group and the control group before intervention. After the intervention, the scores of functional domain of the quality of life in the psychological nursing intervention group and control group were significantly higher than those before the intervention. The scores of sympotom domain were significantly lower than those before the intervention. The scores of the quality of life in the intervention group were all significantly improved than those in the control group after the intervention, and the differences were statistically significant（P〈0.05）. Conclusion The targeted psychological nursing intervention in the patients with endometrial cancer under laparoscopy is beneficial to alleviating postoperative anxiety and depression, and improving the quality of life of patients.