心理护理在宫颈癌实施腹腔镜子宫切除术治疗中的应用研究

赵子明　张欣　王世聪

[摘要] 目的 探讨宫颈癌实施腹腔镜子宫切除术治疗中应用心理护理的效果。 方法 选取我院实施腹腔镜子宫切除术治疗宫颈的83例患者，根据护理方式分组为对照组（n=36，常规护理）和观察组（n=47，常规护理+心理护理），比较护理结果。 结果 观察组患者护理后的焦虑评分、抑郁评分显著低于对照组，护理满意度评分高于对照组，生活质量各项指标评分高于对照组，差异有统计学意义（P<0.05）。 结论 宫颈癌实施腹腔镜子宫切除术治疗中加强心理护理，对患者焦虑、抑郁心理改善，生活质量提高、良好的护患关系维持以及患者康复具有显著作用效果。

[关键词] 宫颈癌；腹腔镜子宫切除术；心理护理；生活质量

[中图分类号] R473.73 [文献标识码] B [文章编号] 1673-9701（2018）09-0156-03

Applying mental nursing in treatment of laparoscopic hysterectomy in patients with cervical carcinoma

ZHAO Ziming ZHANG Xin WANG Shicong LIU Zhiyan

Operating Theatre，Hongqi Hospital Affiliated to Mudanjiang Medical University，Mudanjiang 157000，China

[Abstract] Objective To investigate the effectiveness of applying mental nursing in treatment of laparoscopic hysterectomy in patients with cervical carcinoma. Methods 83 patients with cervical carcinoma who had been treated with laparoscopic hysterectomy in our hospital were selected and divided into control group（36 patients with routine nursing care） and observation group（47 patients with routine nursing care and mental nursing care） according to different ways of nursing care. The results of nursing care were compared. Results The scores of anxiety scale and depression after nursing care in observation group were significantly lower than control group. The satisfaction rate of nursing care and the indices of life quality in observation group were higher than control group， the differeces were statistically significant（P<0.05）. Conclusion Mental nursing should be emphasized in the treatment of laparoscopic hysterectomy in patients with cervical carcinoma. It would be significantly effective for the improvement of anxious and depressive status as well as the quality of life， the maintenance of good nurse-patient relationship and patients recovery.

[Key words] Cervical Carcinoma；Laparoscopic Hysterectomy；Mental Nursing；Quality of Life

宮颈癌是妇科常见的恶性肿瘤之一，严重的威胁女性健康，降低了女性患者的生活质量。近几年来，宫颈癌的发生率不仅显著升高，甚至开始年轻化，因此，早期的诊断和治疗对提高患者生存率意义重大[1]。部分学者发现，大部分实施宫腔镜子宫切除术治疗宫颈癌的患者均存在恐惧、焦虑、害怕等负面心理，影响了整体疗效，不利于患者预后[2-4]。为研究宫颈癌实施腹腔镜子宫切除术治疗中实施心理护理干预的效果，本次研究对83例应用腹腔镜子宫切除术治疗宫颈癌患者根据护理方式分组观察，现报道如下。

1资料与方法

1.1一般资料

选取2016年8月～2017年11月我院实施腹腔镜子宫切除术治疗宫颈癌患者83例，根据护理方式分为对照组和观察组，对照组36例患者，年龄29～67岁，平均（52.1±6.4）岁，包括腺癌18例，鳞癌10例，磷腺癌8例；观察组47例患者，年龄28～65岁，平均（51.9±6.1）岁，包括腺癌21例，鳞癌19例，磷腺癌7例，所有患者均确诊为宫颈癌，患者了解研究目的，愿意配合研究开展，无精神障碍者，无严重系统、器官疾病者，通过医学伦理会批准，两组一般资料比较差异无统计学意义（P>0.05），具有可比性。……