高危HPV感染者心理状况及个性化护理干预效果分析

Analysis of psychological status and individualized nursing intervention for patients with high risk HPV infection

目的对HPV感染妇女心理状况进行调查分析并探讨个性化护理干预效果。方法选择2017年1~7月在医院确诊为高危HPV感染者180例为HPV阳性组,另选择同期在医院行妇科健康体检者150例为对照组。比较两组综合心理评定结果、SAS评分与SDS评分。对HPV感染者实施个性化护理干预,比较干预前后综合心理评定结果、SAS评分与SDS评分。结果 HPV阳性组综合心理评定量表总均分为(0.97±0.20)分,显著高于对照组(P<0.05);阳性项目数显著多于对照组,差异有统计学意义(P<0.05)。HPV阳性组焦虑因子评分[(1.10±0.20)分]、抑郁因子[(1.10±0.31)分]、躯体化因子[(1.20±0.30)分]、敌对因子[(1.30±0.32)]评分均显著高于对照组,差异有统计学意义(P<0.05)。HPV阳性组SAS评分[(58.8±11.6)分],SDS评分[(57.9±10.3)分]显著高于对照组,差异有统计学意义(P<0.05)。干预后,HPV阳性组综合心理评定量表总均分(0.86±0.17)分,阳性项目数(56.1±10.3)个,显著低于干预前,差异有统计学意义(P<0.05)。干预后,HPV阳性组综合心理评定量表各因子得分较干预前显著下降,差异有统计学意义(P<0.05)。干预后,HPV阳性组SAS[(41.3±7.5)分]、SDS[(40.3±8.1)分]评分均显著低于干预前,差异有统计学意义(P<0.05)。结论 HPV感染妇女存在明显的焦虑、抑郁、躯体化等不良情绪,实施个性化护理干预,能够显著改善感染者的不良情绪,有利于病毒的清除。

Objective To investigate and analyze the psychological status of women with HPV infection and study the effect of personalized nursing intervention. Methods A total of 180 patients who were diagnosed with high-risk HPV infection in our hospital from January to July in 2017 were selected as the HPV-positive group. Another 150 patients who underwent gynecological health examinations in the same period were selected as the control group. The comprehensive psychological assessment results, SAS scores and SDS scores of the two groups were compared. Personalized nursing intervention was performed on HPV infected patients, and the comprehensive psychological assessment results, SAS scores and SDS scores before and after intervention were compared. Results The total score of the comprehensive psychological assessment scale of HPV positive group was(0.97±0.20) points, which was significantly higher than that of the control group(P<0.05). The number of positive items was significantly higher than that of the control group, and the difference was statistically significant (P<0.05). The scores of anxiety factor [(1.10±0.20) points], depression factor [(1.10±0.31) points], somatization factor[(1.20±0.30) points], hostile factor [(1.30±0.32) points] in HPV positive group were significantly higher than those of the control group, and the differences were statistically significant(P<0.05). The SAS score of HPV positive group was(58.8±11.6) points, and the SDS was (57.9±10.3) points, which were significantly higher than those of the control group, and the differences were statistically significant(P<0.05). After intervention, the total score of the comprehensive psychological assessment scale of HPV positive group was (0.86±0.17) points, and the number of positive items was (56.1±10.3) points, which was significantly lower than that before intervention, and the difference was statistically significant(P<0.05). After intervention, the scores of the factors in the HPV positive group's comprehensive psychological assessment scale decreased significantly compared with those before the intervention, and the differences were statistically significant(P<0.05). After intervention, the SAS of the HPV-positive group was(41.3±7.5) points, and the SDS was(40.3±8.1) points, which were significantly lower than those before the intervention, and the differences were statistically significant(P<0.05). Conclusion HPV-infected women have obvious anxiety, depression, somatization and other negative emotions. Implementing personalized nursing intervention can significantly improve the negative mood of infected patients and facilitate the elimination of HPV.