手术室细节干预联合心理干预对宫颈癌患者认知情绪及心理状况的影响

Effect of surgery room detail intervention combined with psychological intervention on cognitive emotion and psychological status of patients with cervical cancer

目的探讨手术室细节干预联合心理干预对宫颈癌患者认知情绪及心理状况的影响。方法选取70例接受腹腔镜手术治疗的宫颈癌患者,按照随机数字表法分为对照组与试验组,每组35例。对照组给予常规干预,试验组在对照组基础上给予手术室细节干预联合心理干预,两组均持续干预至出院。比较两组出院时的干预效果、满意度情况,术后恢复情况,干预前、出院时的自护能力、认知情绪、心理状况及生活质量。结果出院时,试验组总有效率为94.29%,明显高于对照组的77.14%,差异有统计学意义(P<0.05)。试验组疼痛持续时间、首次排气时间、首次排便时间、腹腔引流管拔除时间、下床活动时间均明显短于对照组(P<0.05)。与干预前比较,两组出院时自我护理技能、自我概念、自我责任感、健康知识水平、认知情绪调节问卷、简明健康状况量表(SF-36)评分均明显升高,试验组上述指标均明显高于对照组(P<0.05);两组汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)评分均明显降低,试验组HAMD、HAMA评分均明显低于对照组(P<0.05)。出院时,试验组总满意度为97.14%,与对照组的94.29%比较,差异无统计学意义(P>0.05)。结论手术室细节干预联合心理干预可明显改善宫颈癌患者认知情绪和心理状况,提升其自护能力,进而可促进其生活质量的改善,提高干预效果,满意度良好。

Objective To investigate the effect of surgery room detail intervention combined with psychological intervention on cognitive emotion and psychological status of patients with cervical cancer.Methods 70 patients with cervical cancer who underwent laparoscopic surgery in our hospital were selected and divided into the control group and the test group according to the random number table method,35 cases in each group.The control group was given routine intervention,and the test group was given surgery room detail intervention combined with psychological intervention on the basis of the control group.The patients in both groups continued to intervene until discharge.The intervention effect,satisfaction at the the time of discharge,postoperative condition,self-care ability,cognitive emotion,psychological status and quality of life before and after the intervention were compared between the two groups.Results The total effective rate of the test group was 94.29%,which was significantly higher than 77.14%at the time of discharge of the control group,the difference was statistically significant(P<0.05).The times of duration of pain,first exhaust,first defecation,extraction of abdominal drainage tube,getting out of bed in the test group were significantly shorter than those in the control group(P<0.05).Compared with before the intervention,at the time of discharge,the scores of self-care skills,self-concept,sense of responsibility,level of health knowledge,cognitive emotion regulation questionnaire and concise health status scale(SF-36)in the two groups were significantly increased,and the above indicators in the test group were significantly higher than those in the control group(P<0.05).The scores of hamilton depression scale(HAMD)and hamilton anxiety scale(HAMA)in the two groups were significantly decreased,and the scores of HAMD and HAMA in the test group were significantly lower than those in the control group(P<0.05).The total satisfaction rate of the test group was 97.14%,which was not significantly different from 94.29%at the time of discharge of the control group(P>0.05).Conclusion Surgery room detail intervention combined with psychological intervention can significantly improve the cognitive emotion and psychological status of patients with cervical cancer,improve their selfcare ability,and then promote the improvement of their quality of life,and improve the intervention effect,and with higher satisfaction.