激励式护理联合多样化心理疏导对卵巢癌患者心理状态及生存质量的影响

Effect of incentive nursing combined with diversified psychological counseling on mental state and quality of life of ovarian cancer patients

目的 探讨卵巢癌患者采用激励式护理方案并进行多样化心理疏导对改善其心理状态以及生存质量的作用。方法 选择60例卵巢癌者,根据随机数字表法分为对照组与观察组,每组30例。对照组实施常规护理,观察组实施激励式护理联合多样化心理疏导方案干预。于护理前后采用焦虑自评量表(SAS)、抑郁自评量表(SDS)、巢癌患者生命质量测定量表(FACT-O)、特制应对方式问卷(TCSQ)评价两组患者心理状态、生存质量、应对方式。结果 护理前,两组SAS、SDS评分比较,差异无统计学意义(P>0.05);护理后,观察组SAS、SDS评分均低于对照组,差异有统计学意义(P<0.05)。护理前,两组FACT-O评分比较,差异无统计学意义(P>0.05);护理后,两组FACT-O评分均低于护理前,且观察组均低于对照组,差异有统计学意义(P<0.05)。护理前,两组积极应对、消极应对评分比较,差异无统计学意义(P>0.05);护理后,观察组积极应对评分高于对照组,消极应对评分低于对照组,差异均有统计学意义(P<0.05)。结论 卵巢癌患者实施激励式护理联合多样化心理疏导方案干预,可以改善患者心理状态和应对方式,提高患者生存质量,值得临床推广与应用。

Objective To explore the effect of incentive nursing program and diversified psychological counseling on improving the psychological state and quality of life of ovarian cancer patients. Methods A total of 60 cases of ovarian cancer were selected and divided into control group and observation group according to random number table, with 30 cases in each group. The control group received routine nursing, the observation group received incentive nursing combined with diversified psychological counseling program intervention. Before and after nursing, the psychological state, quality of life and coping style of the two groups of patients were evaluated by self-rating anxiety scale(SAS), self-rating depression scale(SDS), quality of life scale for nest cancer patients(FACT-O) and customized coping style questionnaire(TCSQ). Results Before nursing, there was no significant difference in SAS and SDS scores between the two groups(P>0.05). After nursing, SAS and SDS scores of the observation group were lower than those of the control group, and the difference was statistically significant(P<0.05). Before nursing, there was no significant difference in FACT-O scores between the two groups(P>0.05). After nursing, FACT-O scores in both groups were lower than before nursing, and observation group was lower than control group, the difference was statistically significant(P<0.05). Before nursing, there was no significant difference in positive coping and negative coping scores between the two groups(P>0.05). After nursing, the positive coping score of the observation group was higher than that of the control group, while the negative coping score was lower than that of the control group, with statistical significance(P<0.05). Conclusion The incentive nursing combined with diversified psychological counseling can improve the psychological state and coping style of patients with ovarian cancer, and improve the quality of life of patients, which is worthy of clinical promotion and application.