摘要
目的探讨病友互助模式对宫颈癌根治术后患者希望水平、负性情绪及主观幸福感的影响。方法采用随机数字表法将118例宫颈癌根治术患者分为对照组和观察组,每组59例。对照组患者采用术后常规干预,观察组患者在对照组的基础上采用病友互助模式干预。分别采用汉化版Herth希望指数量表(HHI)、焦虑自评量表(SAS)、抑郁自评量表(SDS)、纽芬兰纪念大学幸福度量表(MUNSH)评价干预前后两组患者的希望水平、焦虑及抑郁水平、主观幸福感,统计两组患者干预期间的不良反应总发生率。结果干预前,两组患者HHI各维度评分及总分、SAS评分、SDS评分、MUNSH中正性和负性评分及总分比较,差异均无统计学意义(P﹥0.05)。干预后,两组患者HHI各维度评分及总分、MUNSH中正性评分及总分均高于本组干预前,且观察组患者的上述评分均高于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者MUNSH中负性评分、SAS及SDS评分均低于本组干预前,且观察组患者的上述评分均低于对照组,差异均有统计学意义(P﹤0.05)。干预期间,观察组患者的不良反应总发生率低于对照组,差异有统计学意义(P﹤0.05)。结论病友互助模式可以提高宫颈癌根治术后患者的希望水平和主观幸福感,改善患者的负性情绪,降低不良反应发生率。
Objective To investigate the effect of patients mutual assistance mode on hope level,negative emotions,and subjective well-being of patients undergoing radical hysterectomy for cervical cancer.Method A total of 118 patients with cervical cancer were selected and randomly divided into the control group and observation group,59 cases in each group.The control group was given routine intervention after operation,while the observation group was given patients mutual assistance mode based on the control group’s regimen.The Chinese version of the Herth hope index(HHI),self-rating anxiety scale(SAS),self-rating depression scale(SDS)and Memorial University of Newfoundland scale of happiness(MUNSH)were used to evaluate the hope level,anxiety and depression degree and subjective well-being of the two groups before and after intervention.The total incidence of adverse reactions during the intervention period of the two groups were counted.Result Before the intervention,there were no significant differences between the two groups in any dimension and total scores of HHI,SAS scores,SDS scores,positive and negative scores and total scores of MUNSH(P>0.05).After the intervention,the individual part and total HHI scores,MUNSH positive scores and total scores of the two groups were all higher than those before the intervention,the foregoing scores of the observation group were higher than those of the control group,the differences were statistically significant(P<0.05).After the intervention,the negative scores of MUNSH,SAS scores,and SDS scores of the two groups were lower than those before the intervention,and the previous scores of the observation group were lower than those of the control group,the differences were statistically significant(P<0.05).During the intervention,the total incidence of adverse events in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion The patients mutua assistance mode could increase the hope level and subjective well-being of patients after radical cervical cancer surgery.The regimen could improve the negative emotions of patients and reduce the incidence of adverse events.
作者
常俊丽
孙丽莎
李丽娜
CHANG Junli;SUN Lisha;LI Li’na(Department 1 of Gynecological and Oncology,the Second People’s Hospital of Jiaozuo,Jiaozuo 454100,He’nan,China)
出处
《癌症进展》
2021年第10期1071-1075,共5页
Oncology Progress
关键词
病友互助模式
宫颈癌根治术
希望水平
负性情绪
主观幸福感
patients mutual assistance mode
radical hysterectomy for cervical cancer
hope level
negative emotion
subjective well-being
