年轻妇科癌症患者术后社会心理压力评估及相应护理干预策略探究

Evaluation of postoperative psychosocial stress of young gynecological cancer patients and exploration of corresponding nursing intervention strategies

目的探讨年轻妇科癌症患者术后社会心理压力评估及相应护理干预策略。方法选取2019年1—12月我院妇科住院治疗的40例癌症患者为研究对象,所有研究对象均接受手术与化疗治疗,采用问卷调查的方式,分析妇科癌症年轻女性患者术后与癌症相关的心理压力,并给予其相关的护理干预措施。观察所有患者护理干预前后的心理状况、生存质量评分等相关情况。结果高中文化以下、化疗<6个疗程患者的焦虑与抑郁评分分别为(47.48±8.73)分、(41.29±9.62)分、(45.17±9.69)分、(41.68±9.71)分,均明显低于高中及以上、化疗≥6个疗程患者的(59.15±9.39)分、(53.89±7.17)分、(57.94±10.54)分、(53.84±8.18)分(P<0.05)。实施护理干预后,患者的生理评分为(6.62±0.73)分、心理评分为(5.84±0.52)分、独立性评分为(5.63±1.04)分、社会关系评分为(5.97±0.51)分、环境评分为(5.78±1.21)分以及精神评分为(5.64±0.54)分,均明显高于护理前评分的(5.15±0.65)分、(4.92±0.37)分、(4.87±1.21)分、(5.04±0.39)分、(4.98±1.07)分、(4.73±0.43)分(P<0.05)。结论大部分妇科癌症的年轻患者术后均存在不同程度的焦虑、抑郁心理,根据影响其心理的因素,实施针对性的护理措施,能有效缓解其不良心理状况,改善患者的生存质量,具有十分重要的临床意义。

Objective To assess the postoperative psychosocial stress and explore corresponding nursing intervention strategies for young gynecological cancer patients.Methods The subjects included in this study were 40 cancer patients hospitalized in the Department of Gynecology of our hospital from January to December 2019.All subjects received surgery and chemotherapy.The postoperative psychological stress related to cancer in young female patients with gynecological cancer was analyzed using questionnaires.Furthermore,the relevant nursing interventions were given to them.The psychological status and quality of life scores of all patients before and after nursing intervention were observed.Results The anxiety and depression scores of patients below high school education and with less than six courses of chemotherapy were(47.48±8.73),(41.29±9.62),(45.17±9.69),and(41.68±9.71)points,respectively,all significantly lower than those[(59.15±9.39)points,(53.89±7.17)points,(57.94±10.54)points,and(53.84±8.18)points]in patients above high school education and with chemotherapy≥6 courses(P<0.05).After the implementation of nursing intervention,the patient's physiology was(6.62±0.73)points,psychology was(5.84±0.52)points,independence was(5.63±1.04)points,social relations was(5.97±0.51)points,environment was(5.78±1.21)points,and spirit was(5.64±0.54)points were significantly higher than those([5.15±0.65]points,[4.92±0.37]points,[4.87±1.21]points,[5.04±0.39]points,[4.98±1.07]points,and[4.73±0.43]points)(P<0.05).Conclusion Most young patients with gynecological cancer have different degrees of anxiety and depression after surgery.According to the factors that affect their psychology,the corresponding nursing intervention can effectively alleviate their adverse psychological conditions and improve the quality of life of the patients,which has crucial clinical significance.