治疗性沟通缓解卵巢过度刺激综合征焦虑的干预分析

Therapeutic communication in relieving anxiety of women with ovarian hyperstimulation syndrome

目的 探讨治疗性沟通在缓解妇科卵巢过度刺激综合征中的应用效果。方法 选取2017年1月至9月在本院妇科收治的卵巢过度刺激综合征患者100例,按照数字法随机分为对照组和观察组,各50例。对照组实施常规卵巢过度刺激综合征护理干预,观察组在常规护理基础上,对患者开展治疗性沟通护理干预,观察比较两组患者护理干预前后的焦虑(SAS)和抑郁(SDS)评分、症状自评分(SCL-90)和特质应对方式问卷(TCSQ)评分、患者并发症合计发生率以及患者和家属对护理的满意度。结果 出院前1天,观察组患者SAS、SDS评分分别为(30.5±7.6)分、(31.8±8.2)分均明显低于对照组,观察组患者的躯体化、强迫状态、人际关系、敌对、恐怖、偏执、精神病性等方面SCL评分分别为(18.3±4.8)分、(16.4±4.3)分、(11.6±3.5)分、(8.5±2.4)分、(9.5±3.1)分、(7.6±2.8)分、(13.8±2.5)分均优于对照组,TCSQ评分中的积极应对、消极应对评分分别为(33.5±7.3)分、(26.7±6.5)分均优于对照组,差异均有统计学意义(均P<0.05)。结论 对妇科卵巢过度刺激综合征患者在常规护理基础上实施治疗性沟通,有助于缓解患者的焦虑、抑郁等负性情绪,提高患者的心理健康水平,具有重要的临床综合性应用价值和作用,值得进一步推广使用。

Objective To investigate the effect of therapeutic communication in the treatment of gynecological ovarian hyperstimulation syndrome.Methods From January to September,2017,100 patients with ovarian hyperstimulation syndrome treated at our hospital were randomly divided into a control group and an observation group randomly,50 cases for each group.The control group were treated with conventional ovarian hyperstimulation syndrome nursing intervention;in addition,the observation group were intervened with therapeutic communication.Before and after nursing intervention,the anxiety(SAS)and depression(SDS)scores,symptom score(SCL-90),Trait Coping Style Questionnaire(TCSQ)score,the total incidence of complications,and nursing satisfaction of patients and their families were compared between these two groups.Results One day before their discharge,the SAS and SDS scores were(30.5±7.6)and(31.8±8.2)in the observation group,which were significantly lower than those in the control group(P<0.05).The SCL scores of somatization,forced status,interpersonal relationship,hostility,terror,paranoia,and psychoticism were(18.3±4.8),(16.4±4.3),(11.6±3.5),(8.5±2.4),(9.5±3.1),(7.6±2.8),and(13.8±2.5)in the observation group,which were better than those in the control group(P<0.05).The TCSQ scores of positive and negative responses were(33.5±7.3)and(26.7±6.5)in the observation group,which were better than those in the control group(P<0.05).Conclusions Conventional nursing care combining with therapeutic communication for gynecological patients with ovarian hyperstimulation syndrome helps alleviate their anxiety,depression,and other negative emotions and improve their mental health level of patients,so it has clinical comprehensive application value and importance and is worth for further promotion.