摘要
目的研究宫颈炎患者宫颈癌筛查前后心理状态变化及采取心理干预措施的临床价值。方法选取2014年10月至2015年10月西安交通大学第一附属医院76例进行宫颈癌筛查的宫颈炎患者为研究对象,将患者抽签随机分为观察组与对照组各38例。对照组给予常规护理干预,观察组在对照组的基础上另行心理护理干预。对比两组干预前后汉密尔顿焦虑量表(HAMA)评分、抑郁自评量表(SDS)评分及恐惧视觉模拟评分法(FAVS)评分,并记录患者收缩压、舒张压、脉搏等基础体征变化。结果两组干预后HAMA、SDS、FAVS评分均低于干预前(t值分别为12.029、12.029、12.029、5.298、11.619、5.323,均P<0.05),且干预后观察组均显著低于对照组,差异有统计学意义(t值分别为6.723、8.252、7.852,均P<0.05)。两组干预后收缩压、舒张压、脉搏跳动次数均低于干预前(t值分别为9.585、6.355、8.221、2.164、5.409、2.805,均P<0.05),且观察组低于对照组,差异有统计学意义(t值分别为3.533、3.533、5.165,均P<0.05)。结论宫颈炎患者宫颈癌筛查过程中易产生恐惧、焦虑等不良心理情绪,采取有效的心理护理措施可缓解其不良心理,维持基础体征稳定,有利于疾病的后续治疗,可为临床护理工作开展提供一定依据。
Objective To study the psychological changes before and after cervical cancer screening in patients with cervicitis and clinical value of psychological intervention.Methods Totally 76 patients with cervicitis who took cervical cancer screening in First Affiliated Hospital of Xi＇an Jiaotong University were selected as research objects.The patients were randomly divided into observation group and control group with 38 cases in each group.The control group was given routine nursing intervention,while the observation group was given psychological nursing intervention based on the treament for the control group.Hamilton anxiety scale（HAMA）score,self-rating depressive scale（SDS）score and visual analogue scale for fear（FAVS）score were compared between two groups.The basic signs of systolic blood pressure,diastolic pressure and pulse were recorded.Results HAMA,SDS and FAVS scores of two groups were lower than those before intervention（t value was 12.029,12.029,12.029,5.298,11.619 and5.323,respectively,all P〈0.05）,and they were lower in the observation group than in the control group with statsitcal significance（t value was 6.723,8.252 and 7.852,respectively,all P〈0.05）.After intervention,systolic blood pressure,diastolic blood pressure and pulse beat frequency were lower than those before intervention in two groups（t value was 9.585,6.355,8.221,2.164,5.409 and 2.805,respectively,all P〈0.05）,and they were lower in the observation group（t value was 3.533,3.533 and5.165,respectively,all P〈0.05）.Conclusion Patients with cervicitis are prone to have fear,anxiety and other negative psychological emotions in cervical cancer screening.Effective psychological nursing measures can be used to alleviate adverse psychology,to maintain stability of basic signs,and to help subsequent treatment of diseases.It provides some basis for clinical nursing work.
出处
《中国妇幼健康研究》
2017年第11期1460-1462,共3页
Chinese Journal of Woman and Child Health Research
关键词
宫颈炎
宫颈癌
筛查
心理状态
心理干预
cervicitis
cervical cancer
screening
psychological status
psychological intervention
