综合护理干预对妇科恶性肿瘤术后化疗患者心理倾向的影响(1)
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[摘要] 目的 探讨护理干预对妇科恶性肿瘤术后化疗患者心理倾向的影响。方法 选取来我院接受手术后化学治疗的妇科恶性肿瘤患者172例，给予综合护理干预，采用焦虑自评量表(SAS)、抑郁自评量表(SDS)及Wallston多维度健康心理控制源量表(MHLC)评定护理干预前后患者的焦虑、抑郁及心理控制源倾向。结果 与常模比较，肿瘤组SDS、SAS、CHLC、PHLC得分均较高，IHLC得分较低，差异具有统计学意义(P<0.05)。SDS、SAS评分与IHLC、PHLC呈显著负相关，与CHLC呈显著正相关。与干预前比较，干预后SDS、SAS、CHLC得分明显降低，PHLC得分明显提高，差异具有统计学意义(P<0.05)。结论 健康教育、心理支持及放松训练相结合的综合护理干预对妇科恶性肿瘤术后化疗患者的心理倾向有明显的改善作用，可以提高患者的生活质量。
[关键词] 妇科恶性肿瘤；心理倾向；护理干预
[中图分类号] R473.73 [文献标识码] B [文章编号] 1673-9701(2011)23-123-03
Influence of Nursing Intervention on Psychology Inclination of Chemotherapy on the Patients with Gynecological M alignant Tumors
ZHU Mingli
Ningbo Women and Child Hospital in Zhejiang Province, Ningbo 315012, China
[Abstract] Objective To study the influence of nursing intervention on psychology inclination of chemotherapy on the patients with gynecological m alignant tumors. Methods One hundred seventy two cases with gynecological m alignant tumors who accepted chemotherapy were selected in our hospital, and all of them were given comprehensive preoperative nursing intervention. The SAS, SDS and MHLC were used to evaluate the anxiety, depression and locus of control inclination before and after intervention. Results Compared with normal group, the SDS, SAS, CHLC, PHLC scores were much higher in the intervention group, but IHLC score was lower, all of them had significant differences (P<0.05). There were negative correlations between SDS, SAS and IHLC, PHLC scores, positively correlated with CHLC score. Compared with before intervention, SDS, SAS, CHLC scores were much lower after intervention, PHLC score was higher, all of them had significant differences (P<0.05). Conclusion Nursing intervention including health education, psychological support, relax training has a significant improvement in the chemotherapy on the patients with gynecological m alignant tumors, can also improve the quality of life of those patients.
[Key words] Gynecological m alignant tumors; Psychology inclination; Nursing intervention
妇科恶性肿瘤是一种严重威胁广大妇女健康及生命的杀手之一，临床上最常见的是宫颈癌、卵巢癌及子宫内膜癌。化疗是治疗恶性肿瘤的主要方法之一，但化疗既是一种治疗方式，也具有身心损害的负面效应。妇科恶性肿瘤化疗患者由于受病程、病情及化疗副作用的影响，造成患者心理负担过重，产生各种不良情绪，对治疗的结果产生很大的影响[1]。笔者对来本院就诊的妇科恶性肿瘤术后化疗患者的焦虑和抑郁情况及心理控制源倾向进行测评，并给予患者包括健康宣教、心理支持及放松训练在内的综合护理干预，旨在了解护理干预对妇科恶性肿瘤术后化疗患者心理倾向的影响 ......
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