吴敏

[摘要]目的 探讨心理干预对宫颈癌患者焦虑、抑郁状态的影响。方法 将2012年1月～2016年9月我院妇产科收治的50例宫颈癌患者，随机分为干预组和对照组，每组25例。对照组实施基础护理、生活护理、健康教育等常规护理，干预组在对照组基础上给予心理干预。通过焦虑自评量表（SAS）和抑郁自评量表（SDS）观察两组患者干预前后的SAS、SDS评分，并了解两组患者对护理服务的满意情况。结果 干预后，干预组和对照组的SAS评分[（35.72±7.23）、（46.24±7.76）分]及SDS评分[（31.88±6.55）、（45.24±5.62）分]均低于干预前[（60.16±7.76）、（59.56±8.01）分；（55.72±7.24）、（56.96±7.72）]，且干预组低于对照组，差异均有统计学意义（P<0.01）。干预组患者对护理工作满意率为92.0%，高于对照组的68.0%，差异有统计学意义（P=0.034）。结论 心理干预能有效缓解宫颈癌患者的焦虑、抑郁心理状态，提高患者对护理服务的满意度和生活质量。

[关键词]心理干预；宫颈癌；抑郁

[中图分类号] R473.73 [文献标识码] A [文章编号] 1674-4721（2017）01（c）-0194-03

[Abstract]Objective To investigate the influence of psychological intervention on anxiety and depression in patients with cervical cancer.Methods From January 2012 to September 2016，50 patients with cervical cancer treated in our hospital were randomly divided into the intervention group and the control group，and each group had 25 patients.The control group wast given with basic nursing，life care，health education and so on.The observation group was given the psychological intervention on the basis of the control group.According to the self-rating anxiety scale （SAS） and self-rating depression scale （SDS），SAS score and SDS score were observed before and after intervention in two groups，and the satisfaction with nursing service was also observed.Results After intervention，the intervention group and the control group of the SAS score [（35.72±7.23） points，（46.24±7.76） points] and the SDS score [（31.88±6.55） points，（45.24±5.62） points] were lower than those before intervention [（60.16±7.76） points，（59.56±8.01） points；（55.72±7.24） points，（56.96±7.72 points）]，and the intervention group was lower than in the control group，the differences were statistically significant （P<0.01）.The nursing satisfaction rate of intervention group was 92.0%，which was higher than that of control group （68.0%），and the difference was statistically significant （P=0.034）.Conclusion The psychological intervention can effectively relieve anxiety and depression in patients with cervical cancer，improve the degree of satisfaction with nursing service and the quality of life.

[Key words]Psychological intervention； Cervical cancer；Depression

宮颈癌是我国女性发病率最高的生殖道恶性肿瘤之一[1]，已严重威胁女性的身心健康。有资料显示，我市宫颈癌的发病在女性恶性肿瘤中居第7位，粗发病率为8.74/10万，高于全国平均水平[2]。女性一旦被确诊为宫颈癌，常把癌症等同于死亡，易产生焦虑、抑郁、悲观等心理障碍。这些抑郁状态严重危害患者身心健康，影响治疗效果和生活质量，因此心理护理对宫颈癌患者显得尤为重要。笔者所在科室对宫颈癌患者实施心理护理，取得了较显著的效果，现报道如下。

1资料与方法

1.1一般资料

将2012年1月～2016年9月我院妇产科对收治的符合入选标准和排除标准的50例宫颈癌患者随机分为干预组和对照组，每组25例。干预组：年龄31～74岁，平均（48.72±9.266）岁。对照组：年龄21～72岁，平均（46.00±10.145）岁。两组患者的年龄、SAS评分和SDS评分等一般资料差异无统计学意义（P>0.05），具有可比性。……