延续护理模式对宫颈癌患者生活质量和抑郁焦虑的影响

The Influence of Continue Nursing Model on the Quality of Life and the Depression and Anxiety of Patients with Cervical Cancer

目的:探讨延续护理模式对宫颈癌患者生活质量和抑郁焦虑的影响。方法:选取2015年2月—2016年7月于我院因宫颈癌行根治术后接受化疗的患者共90例,随机分为干预组和对照组各45例,处理组采用延续护理模式,对照组采用常规护理随访,采用癌症康复评价简表(CARES-SF)进行生活质量评估,采用焦虑自评量表(SAS)、抑郁自评量表(SDS)比较两组患者干预前后的焦虑抑郁情况。结果:两组患者干预前的CARES-SF评分对比差异没有统计学意义,干预后1个月、3月、6月干预组显著低于对照组,差异具有统计学意义(t=-7.342,-8.316,-5.937;P<0.01);两组患者干预前的SAS评分对比差异没有统计学意义,干预后1个月、3月、6月干预组显著低于对照组,差异具有统计学意义(t=-5.027,-11.192,-10.241;P<0.01),两组患者干预前的SDS评分对比差异没有统计学意义,干预后1个月、3月、6月干预组显著低于对照组,差异具有统计学意义(t=-4.228,-4.943,-5.843;P<0.01)。结论 :延续护理模式有助于提高宫颈癌患者的生活质量,同时能进一步缓解患者的焦虑和抑郁情绪。

Objective：To study the influence of continue nursing model on the quality of life and the anxiety and depression of patients with cervical cancer.Methods：From February 2015 to July 2016,a total of 90 cases who undergo radical surgery and chemotherapy for cervical cancer were selected in our hospital,which were randomly divided into the treatment group and the control group,45 cases in each group.The treatment group treat with the continue nursing model,and the control group using the conventional care follow-up,the CARES-SF scale was used to evaluate the quality of life,and the Self-Rating Anxiety Scale（SAS）,Self-rating depression scale（SDS）were used to compare the two groups of patients before and after the intervention.Results：The CARES-SF score comparison between the two groups of patients before intervention had no significant difference,after intervention for 1 month,3 months and 6 months,the treatment group was significantly lower than the control group,the difference was statistically significant（t=-7.342,-8.316,-5.937;P〈0.01）;The SAS scoring comparison：There was no statistically significant difference in the two groups of patients,after intervention for 1 month,3 months and 6 months,the intervention group was significantly lower than the control group,the difference was statistically significant（t=-5.027,-11.192,-10.241;P〈0.01）.The SDS scores：The two groups of patients before the intervention had no significant difference.After intervention for 1 month,3 months and 6 months,the treatment group was significantly lower than the control group（t=-4.228,-4.943,-5.843;P〈0.01）.Conclusion：The continue nursing mode is helpful to improve the quality of life in patients with cervical cancer,at the same time to further ease patients＇ anxiety and depression.