高危人乳头瘤病毒感染患者心理特点及干预策略的应用研究

Application study on psychological characteristics and intervention strategies of high risk HPV infection patients

目的探讨高危人乳头瘤病毒(HPV)感染患者心理特点及干预策略。方法选取2017年6月~2018年12月我院收治的80例高危型HPV感染患者作为研究对象,按照随机数字表法分为A组(40例)和B组(40例)。A组采用常规护理,B组采用常规护理加心理认知行为治疗,比较两组的心理状况异常率、焦虑自评量表(SAS)评分、治疗依从性、护理满意度、匹兹堡睡眠质量表(PSQI)评分、医学应对方式测量表(MCMQ)评分。结果80例患者心理状况异常率为90.00%,其中焦虑不安占40.00%;人际关系敏感心理占20.00%;躯体化症状占20.00%;强迫症状占10.00%。护理后B组的SAS评分为(32.26±6.32)分,低于A组的(44.57±4.29)分,差异有统计学意义(P<0.05)。B组的治疗总依从性、护理总满意度高于A组,差异有统计学意义(P<0.05)。B组护理后的PSQI评分为(6.13±1.7)分,低于A组的(11.3±1.2)分,差异有统计学意义(P<0.05)。B组的MCMQ量表中面对评分高于A组,回避及屈服评分低于A组,差异有统计学意义(P<0.05)。结论高危HPV感染患者常出现焦虑、怀疑、羞耻等负面心理情绪,从这些角度对患者进行心理护理可有效提高患者的生活质量并改善负面心理情绪,提高护理依从性和满意度。

Objective To explore the psychological characteristics and intervention strategies of high-risk patients with human papillomavirus(HPV)infection.Methods Eighty high risk HPV infected patients admitted to our hospital from June 2017 to December 2018 were enrolled in the study.They were randomly divided into group A(40 cases)and group B(40 cases).Group A was used routine nursing,group B was used routine nursing plus psychological cognitive behavioral therapy,the psychological abnormality rate,self-rating anxiety scale(SAS)score,treatment compliance,psatisfaction,Pittsburgh sleep quality scale(PSQI)score,medical coping style scale(MCMQ)score were compared between two groups.Results The abnormal rate of psychological condition in 80 patients was 90.00%,of which anxiety was 40.00%,interpersonal sensitivity 20.00%,somatization 20.00%,obsessive-compulsive symptom 10.00%.After nursing,the SAS score of group B was(32.26±6.32)points,lower than that of group A for(44.57±4.29)points,the difference was statistically significant(P<0.05).The total therapeutic compliance and nursing total satisfaction of group B were significantly higher than those of group A(P<0.05).The PSQI score of group B after nursing was(6.13±1.7)points,lower than that of group A for(11.3±1.2)points,the difference was statistically significant(P<0.05).The face score of group B was higher than that of group A,and the scores of avoidance and yield were lower than those of group A(P<0.05).Conclusion The high risk patients with HPV infection often have bad psychological emotions,such as anxiety,suspicion,shame and so on.Psychological nursing can effectively improve the quality of life of patients and improve their bad psychological mood from these points of view.Improve nursing compliance and satisfaction.