综合护理干预在宫颈癌合并梅毒螺旋体阳性患者中的效果观察

Nursing efficacy of comprehensive nursing intervention in patients with cervical cancer complicated with serum positive for Treponema pallidum

目的探讨综合护理干预在宫颈癌合并梅毒螺旋体阳性患者中的护理效果。方法选取2013年1月至2016年12月间重庆市红十字会医院收治的50例宫颈癌合并梅毒螺旋体阳性患者,采用随机数字表法分为观察组和对照组,每组25例。观察组患者采用综合护理干预,对照组患者采用常规护理。比较两组患者护理前后的抑郁和焦虑情绪变化、生活质量及并发症发生情况。结果护理前,两组患者抑郁自评量表(SDS)和焦虑自评量表(SAS)评分比较,差异无统计学意义(P>0.05);护理后,观察组患者SAS及SDS评分均低于对照组,差异均有统计学意义(均P<0.05)。护理前,两组患者生活质量评分比较,差异无统计学意义(P>0.05);护理后,观察组患者生活质量评分均高于对照组,差异均有统计学意义(均P<0.05)。护理后,观察组患者并发症发生率为12.0%,低于对照组的32.0%,差异有统计学意义(P<0.05)。结论宫颈癌合并梅毒螺旋体阳性患者采用综合护理干预效果理想,对患者心理影响较小,有助于提高生活质量,值得推广应用。

Objective To investigate the efficacy of comprehensive nursing intervention on the patients with cervical cancer complicated with positive results with Treponema pallidum（T. pallidum）.Methods A total of 50 patients with cervical cancer who were admitted to Hospital of Chongqing Red Cross Society from January 2013 to December 2016 were enrolled in this study. The patients were randomly divided into an observation group and a control group with 25 patients in each group. The observation group received comprehensive nursing intervention,and the control group received routine nursing care. Hamilton self-rating depression scale（SDS） and self-rating anxiety scale（SAS） were used to evaluate psychological fluctuations in the two groups before and after the nursing. The SF-36 quality of life scale for quality of life was used to assess quality of life in the two groups before and after the nursing,Incidence of complications was compared between the two groups. Results There was no statistically significant difference in SAS and SDS score between the two groups before treatment（P〉0. 05）. After nursing,SAS and SDS scores were lower in the observation group than in the control group（all P〈0. 05）. There was no statistically significant difference in quality of life score between the two groups before nursing（P〈0. 05）. After nursing,quality of life score was higher in the observation group than in the control group（P〈0. 05）. The incidence of complication rate was 12. 0% in the observation group after nursing which was lower than 32. 0% of the control group（P〈0. 05）. Conclusion The comprehensive nursing intervention in patients with cervical cancer with cervical cancer complicated with positive results with T. pallidum is good,which has little effect on patients＇ psychological fluctuations,and is helpful to improve the quality of life. It is worthy of popularization and application.