针对性护理干预对复发性卵巢癌化疗患者心理状态的改善效果研究

Effect of targeted nursing intervention on psychological status of patients with recurrent ovarian cancer

目的探讨针对性护理干预对复发性卵巢癌患者心理状态的影响，为完善复发性卵巢癌的临床护理工作提供可靠的依据。方法选择2016年1月至2017年3月治疗的60例复发性卵巢癌患者为研究对象，应用随机数字表法分为观察组和对照组各30例。观察组行针对性护理干预，对照组行常规护理。观察对比2组患者护理干预前与干预1个月后焦虑情绪、疼痛程度（VAS）的变化，以及对护理服务的满意度。结果干预后观察组焦虑自评量表评分为（40．13±5．73）分，对照组为（51．12±3．98）分，组间比较观察组显著低于对照组，差异有统计学意义（t=6．145，P=0．011）。观察组与对照组干预前的VAS评分分别为（5．03±1．22）、（5．23±1．38）分，组间比较差异无统计学意义（t=1．236，P=0．384）；干预后观察组VAS评分为（1．13±0．83）分，对照组为（2．52±1．24）分，组间比较观察组低于对照组，差异有统计学意义（t=3．047，P=0．032）。护理后护理满意度方面，观察组为80．00％（24／30），对照组为43．33％（13／30），2组比较差异有统计学意义（χ2=4．842，P=0．021）。结论与常规护理相比，针对性护理干预可显著改善复发性卵巢癌患者的焦虑情绪及疼痛阈值，提高护理满意度，可在临床进行推广应用。

Objective To explore the effect of targeted nursing intervention on the psychologicalstatus of patients with recurrent ovarian cancer, so as to provide a reliable basis for improving the clinical nursing work of recurrent ovarian cancer. Methods A total of 60 cases of recurrent ovarian cancer treated in our hospital from January 2016 to March 2017 were selected as the research objects, and they were randomly divided into the observation group and the control group with 30 cases in each group. The observation group received targeted nursing intervention, while the control group received routine nursing care. Observation and comparison of two groups of patients before and after nursing intervention anxiety, pain threshold changes, as well as the satisfaction of nursing services. Results Self-rating Anxiety Scale （SAS） scores after the intervention in the observation group was （40.13 ± 5.73） points,the control group was （51.12 ± 3.98） points,the difference was statistically significant（t=6.145,P=0.011）. Observation group and control group before the intervention Visual Analogue Scale （VAS） score was （5.03 ± 1.22） points, （5.23 ± 1.38） points, there was relatively no significant difference（t=1.236,P=0.384） between the two groups; VAS scores after the intervention of the observation group was （1.13 ± 0.83） points, the control group was（2.52 ± 1.24） points,the observation group was significantly lower than the control group, the difference was significant（t=3.047,P=0.032）.The observation group of patients for overall satisfaction of nurses was 80.00% （24/30）,the control group of patients overall satisfaction was 43.33% （13/30） for nurses, overall satisfaction among groups observation group was significantly higher overall satisfaction（χ2=4.842,P= 0.021）. Conclusions Compared with routine nursing, targeted nursing intervention can significantly improve the anxiety and pain threshold of patients with recurrent ovarian cancer, improve nursing satisfaction, and can be popularized and applied in clinic.