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目的:探讨围手术期心理干预对宫颈癌患者心理状况及生活质量的影响。方法:将同期在妇产科住院的Ⅰ～Ⅱa期宫颈癌患者76例随机分为干预组和对照组各38例,干预组患者除接受常规手术、药物治疗及护理外予以围手术期心理干预;对照组接受常规的手术、药物治疗及护理。采用欧洲癌症研究和治疗协作组生活质量核心问卷(QLQ-C30)焦虑自评量表(SAS)及抑郁自评量表(SDS),由专职护士分别于干预前、术后7天及1个月(门诊复查时)与患者进行访谈,填写问卷进行评定。结果:术后7天干预组患者的整体生活质量、角色功能、情感功能及认知功能的评分均高于对照组(P<0.05),术后1个月则更是明显高于对照组(P<0.01),而SAS及SDS评分则明显低于对照组(P<0.01)。结论:围手术期心理干预能改善宫颈癌患者的心理状况,减轻焦虑抑郁情绪,提高生活质量。
Objective: To investigate the impact of perioperative psychological intervention on the psychological status and quality of life of patients with cervical cancer. Methods: 76 patients with stage Ⅰ ~ Ⅱa cervical cancer who were hospitalized in obstetrics and gynecology were randomly divided into intervention group and control group, with 38 cases in each group. Patients in intervention group were treated with perioperative psychological intervention except routine operation, medication and nursing The control group received routine operation, medication and nursing. The self-rating anxiety scale (SAS) and depression self-rating scale (SDS) were used in the core questionnaire of quality of life in European Cooperative Group for Cancer Research and Treatment (QLQ-C30) Month (outpatient review) interview with the patient, fill out the questionnaire for evaluation. Results: The scores of overall quality of life, role, emotion and cognitive function of the intervention group were significantly higher than those of the control group (P <0.05), and were significantly higher than those of the control group one month after the operation P <0.01), while SAS and SDS scores were significantly lower than those in the control group (P <0.01). Conclusion: Perioperative psychological intervention can improve the psychological status of patients with cervical cancer, relieve anxiety and depression, and improve the quality of life.