摘要
目的探讨心理护理干预对子宫切除患者术后焦虑、抑郁及性生活质量的影响,评价心理护理的效果。方法 80例行子宫切除术的患者作为研究对象,随机分为观察组和对照组各40例,对照组给予常规护理,观察组在常规护理的基础上给予心理治疗、家庭以及社会的支持治疗。所有患者在办理住院之前均需填写焦虑自评量表(SAS)、抑郁自评量表(SDS);术后半年需填写SAS、SDS、性调查问卷,对比分析两组分别在手术前、后的焦虑、抑郁、性生活质量的情况。结果 45岁以下的患者子宫切除后,存在明显的焦虑、抑郁等负性情绪和症状,SAS、SDS评分与对照组比较无统计学差异(P>0.05),经过心理干预后,术后半年随访SAS、SDS评分与对照组有显著统计学差异(P<0.05),t值分别为-3.63,-3.95;经过护理心理干预后,患者的女性魅力自信心提升、性欲增强以及性高潮次数增加的病例数观察组高于对照组(P=0.0067)、性交疼痛下降和性唤起时间缩短的病例数也均高于对照组(P=0.0035)。(结果应提供一些关键统计分析结果)结论子宫切除患者的情绪和生活质量需要引起医生和护士的重视,重点对术后患者的焦虑、抑郁等负性情绪进行心理干预,改善患者术后的性生活质量以及人际关系状况心理干预必不可少,心理干预的要点包括患者的自尊、社会支持、人际关系等。
Objective To explore supportive care interventions for patients after hysterectomy Anxiety,Depression and sexual quality of life,evaluation of the effect of psychological care. Methods 80 patients with routine resection of the uterus as research subjects were randomly divided into observation group and control group with40 patients in the control group received routine care,observation group psychotherapy in routine care,based on the support of family and community treatment. All patients were required to fill out before hospitalization anxiety scale（ SAS）,Self-Rating Depression Scale（ SDS）; after six months required to complete SAS,SDS,survey questionnaire,two groups were analyzed before and after surgery case anxiety,depression,sexual quality of life.Results The patients with endometriosis 45 years after resection there was no significant difference（ P〈0. 05）obvious anxiety,depression and other negative emotions and symptoms,SAS,SDS scores with the control group,after psychological intervention,after six months Follow-up SAS,SDS scores with the control group,a statistically significant difference（ P〉0. 05）,t values were- 3. 63,- 3. 95; after nursing psychological intervention,the patient＇s self-confidence to enhance femininity,libido enhancement and increase orgasm frequency the number of cases in the observation group was higher（ P〈0. 01）,decreased pain during intercourse and sexual arousal shortened number of cases also were higher（ P〈0. 01）.（ The results should provide some of the key results of statistical analysis）. Conclusion Hysterectomy patient＇s mood and quality of life need to attract the attention of doctors and nurses,focusing on patients of anxiety,depression and other negative emotions psychological intervention,improved postoperative quality of life and interpersonal psychological intervention situation will essential,elements of psychological intervention included patient self-esteem,social support and interpersonal relationships.
出处
《国际精神病学杂志》
2015年第5期107-110,共4页
Journal Of International Psychiatry
关键词
子宫切除
支持性护理
社会支持
心理干预
性生活质量
Hysterectomy
Supportive care
Social support
Psychological intervention
The quality of life
