妇科卵巢癌患者的心理问题及护理措施

Psychological problems and nursing measures of gynecological ovarian cancer patients

目的分析妇科卵巢癌患者的心理问题及护理措施,旨在改善卵巢癌患者心理状况。方法选取2015年1月~2016年12月医院收治妇科卵巢癌患者100例作为观察对象,将患者按照数字表法随机分为观察组与对照组,每组各50例。对照组采用常规护理模式,观察组在对照组的基础上加入心理护理干预,比较两组护理前后焦虑、抑郁情绪(焦虑自评量表评分-SAS评分、抑郁自评量表评分-SDS评分)以及生活质量评分(QOL评分)变化,并采用问卷调查的方式询问患者对临床护理的满意度。结果观察发现,两组患者护理前的SAS评分、SDS评分以及QOL评分均无明显差异,两组患者护理前后各指标比较差异均有统计学意义(P<0.05),且观察组护理后SAS评分、SDS评分以及QOL评分均优于对照组(P<0.05);观察组与对照组患者的护理满意度分别为96.0%和82.0%,观察组患者的护理满意度明显高于对照组(P<0.05)。结论卵巢癌患者多伴随焦虑抑郁症状,为了提升卵巢癌患者的生存质量,需要通过采取积极的心理护理干预措施,有助于缓解患者的心理问题。

Objective To analyze the psychological problems and nursing measures of gynecological ovarian cancer patients, and to improve the psychological status of ovarian cancer patients. Methods A total of 100 patients with gynecological ovarian cancer admitted in our hospital were chosen as the objects of observation and randomly divided into observation group and control group according to the number table method,with 50 cases in each group.The patients in the control group were treated with routine nursing model. The observation group was treated with psychological nursing intervention on the basis of the treatment of the control group. The changes of anxiety and depression （anxiety self-rating scale-AS score, self-rating scale score-SDS score） and quality of life score（QOL score） were compared between the two groups before and after nursing. And the questionnaire was used to investigate the patient＇s satisfaction with clinical care. Results There were no significant differences in SAS scores, SDS scores and QOL scores between the two groups before nursing.The differences in the indicators of the two groups of patients before and after care were statistically sig- nificant（P〈0.05）, and the SAS scores, SDS scores and QOL scores were better in the observation group than those in the control group （P〈0.05）. The nursing satisfaction in the observation group and the control group was 96.0% and 82.0% respectively. The nursing satisfaction of the observation group was significantly higher than that of the control group （P〈0.05）. Conclusion Most patients with ovarian cancer are associated with anxiety and depression. In order to improve the quality of life of ovarian cancer patients, a positive psychological care intervention is needed to be taken to help alleviate the psychological problems of patients.