心理护理干预在宫颈癌同步放化疗患者中的应用

Application of psychological nursing intervention in patients with cervical cancer undergoing concurrent radiotherapy and chemotherapy

目的探讨心理护理干预在宫颈癌同步放化疗患者中的应用效果。方法选取2021年1月至2022年12月山东省第二人民医院收治的80例宫颈癌同步放化疗患者作为研究对象,按照随机数字表法将其分为对照组(40例)与观察组(40例),对照组行常规护理,观察组在对照组基础上联合心理护理干预,比较两组护理前后疾病应对方式评分、自我效能感评分、负性情绪评分。结果护理前两组疾病应对方式评分比较,差异无统计学意义(P>0.05)。护理后两组屈服、回避评分均降低,面对评分均提高,且护理后观察组屈服、回避评分低于对照组,面对评分高于对照组(P<0.05)。护理前两组自我效能感评分比较,差异无统计学意义(P>0.05)。两组护理后自我效能感评分均提高,且护理后观察组自我效能感评分高于对照组(P<0.05)。两组护理前负性情绪评分比较,差异无统计学意义(P>0.05)。两组护理后抑郁、焦虑、敌对、恐怖、偏执、精神病性评分均降低,且护理后观察组抑郁、焦虑、敌对、恐怖、偏执、精神病性评分低于对照组(P<0.05)。结论心理护理干预可提高宫颈癌同步放化疗患者的疾病应对方式和自我效能感,继而改善其负性情绪,整体应用效果理想,值得推广应用。

Objective To explore the application effect of psychological nursing intervention in patients with cervical cancer undergoing concurrent radiotherapy and chemotherapy.Methods A total of 80 patients with cervical cancer undergoing concurrent radiotherapy and chemotherapy admitted to Shandong Second Provincial General Hospital from January 2021 to December 2022 were selected as the study subjec ts.They were divided into the control group(40 cases)and the observation group(40 cases)according to the random number table method.The control group received routine nursing care,while the observation group received psychological nursing intervention based on the control group.The scores of disease coping style,self-efficacy,and negative emotions were compared between the two groups before and after nursing.Results There was no statistically significant difference in the dis ease coping style score between the two groups before nursing(P>0.05).The yield and avoidance scores decreased and the face s cores increased in both groups after nursing,and the yield and avoidance scores in the observation group were lower than those in the control group,the face score were higher than that in the control group after nursing(P<0.05).There was no statistically significant difference in self-efficacy score between the two groups before nursing(P>0.05).Self-efficacy scores increased in both groups after nursing,and the observation group had higher self-efficacy score than the control group after nursing(P<0.05).Depression,anxiety,hostility,terror,paranoia,and psychopathy scores were lower in both groups after nursing,and depression,anxiety,hostility,terror,paranoia,and psychopathy scores were lower in the observation group than those in the control group after nursing(P<0.05).Conclusion Psychological nursing intervention can improve the disease coping style and self-efficacy of patients with cervical cancer undergoing concurrent radiotherapy and chemotherapy,and then improve their negative emotions.The overall application effect is ideal,and it is worth promoting and applying.