综合护理干预对宫颈癌患者疾病不确定感及焦虑的影响

Effect of Comprehensive Nursing Intervention on Medical Uncertainty Inventory and Anxiety of Patients with Cervical Carcinoma

目的:分析护理干预对宫颈癌患者疾病不确定感和焦虑状况的影响,探索宫颈癌患者综合护理干预模式。方法:选取2016年6月-2017年9月本院准备行宫颈癌根治术的患者134例作为研究对象,按照随机数字表法将其分为观察组和对照组,每组各67例。对照组给予常规护理,观察组在常规护理的基础上接受综合护理干预,观察比较两组入院时、术前及术后3 d的疾病不确定感、焦虑评分及其均数变化趋势。结果:入院时两组的疾病不确定感、焦虑评分比较,差异均无统计学意义(P>0.05);术前及术后3 d,观察组的疾病不确定感评分分别为(97.29±10.12)、(83.57±9.21)分,焦虑评分分别为(53.62±7.57)、(42.15±5.48)分,均明显低于对照组的(111.23±11.87)、(95.36±9.65)及(61.88±9.36)、(52.19±4.87)分,差异均有统计学意义(P<0.05)。观察组疾病不确定感、焦虑评分在三个时点有逐渐下降趋势,而对照组没有下降趋势。结论:综合护理干预能降低宫颈癌患者的疾病不确定感和焦虑水平。

Objective:To analyze the effect of nursing intervention on medical uncertainty inventory and anxiety of patients with cervical carcinoma and explore the comprehensive nursing intervention model of patients with cervical carcinoma.Method:A total of 134 patients who were going to undergo radical operation of cervical cancer in our hospital from June 2016 to September 2017 were selected as the research objects.According to the random number table method,they were divided into observation group and control group,67 cases in each group.The control group was received routine nursing,the observation group was received comprehensive nursing intervention on the basis of routine nursing.The medical uncertainty inventory,anxiety scores and changes of its mean at admission,before and after operation 3 days between the two groups were observed and compared.Result:There were no significant differences in medical uncertainty inventory and anxiety scores at admission between the two groups(P>0.05).Before and after operation 3 days,the medical uncertainty inventory scores of the observation group were(97.29±10.12)score and(83.57±9.21)score respectively,the anxiety scores were(53.62±7.57)and(42.15±5.48)score respectively,which were significantly lower than(111.23±11.87),(95.36±9.65),(61.88±9.36)and(52.19±4.87)score of the control group,the differences were statistically significant(P<0.05).The medical uncertainty inventory and anxiety scores in the observation group decreased gradually at three time points,while those in the control group did not.Conclusion:Comprehensive nursing intervention can reduce the level of medical uncertainty inventory and anxiety of patients with cervical carcinoma.