子宫切除患者身体心像改变后的心理分析  

Psychological analysis of patients changing their self-images after hysterectomy

作　　者：章兰英[1] 周丽华[1] 刘斌[1] 徐东燕[1] 明艳芬[1] 

机构地区：[1]广东省第二人民医院妇科,广东广州510317

出　　处：《南方护理学报》2005年第1期65-66,共2页Nanfang Journal of Nursing

摘　　要：目的探讨子宫切除患者身体心像改变后的心理反应,为实施有效的心理护理提供依据和对策.方法采用问卷调查法对105例子宫切除患者术后1周进行心理反应分析,比较不同年龄、不同文化程度、不同职业子宫切除患者之间的差异.采用SPSS 10.0统计软件包处理数据.结果81%患者有适应不良的反应,76%患者有不利于健康的反应,66%患者两种反应都有.以26～45岁患者、中专及中专以上患者出现的心理反应最明显(P＜0.05);脑力劳动和体力劳动患者心理反应经比较,无统计学意义(P＞0.05).结论76%以上的子宫切除患者术后短期内均有不良心理反应,应实施针对性心理护理,对于成年早期和中专及中专以上学历患者更应重视.Objective To explore psychological response of patients changing their self-images after hysterectomy, and supply basis and countermeasure for the implementation of effective psychological nursing. Methods Psychological responses of 105 cases were analyzed one week after hysterectomy through questionnaire investigation. The differences existing in patients' age, education background and occupation were compared. All data were analyzed by software SPSS 10.0. Results There were 81% patients having bad adaptation response, 76% having unhealthy response, and 66% having both. Patients of 26~45 years old and patients having college degree or above had most obvious psychological respond (P<0.05). When comparing the psychological respond of brain worker and physical worker, no statistical significance was found. Conclusion Over 76% patients undergoing hysterectomy had negative psychological respond during the short period after operation. Pertinent psychological nursing should be emphasized, especially for those in early adult and those having college degree or above.

关 键 词：子宫切除术 身体心像 心理分析 护理 

分 类 号：R713.42[医药卫生—妇产科学] R473.71[医药卫生—临床医学]