心理护理联合健康教育在HPV感染的宫颈癌合并糖尿病患者中的应用效果分析  

Analysis on the application effect of psychological nursing combined with health education in the patients with hpv-infected cervical cancer complicated with diabetes

作　　者：楼程英 王运根[2] 章玉兰[3] 胡波 LOU Chengying;WANG Yungen;ZHANG Yulan;HU Bo(Department of Rehabilitation Medieine,Jinhua People＇s Hospital in Zhejiang,Jinhua 321000,China;Department of Gynecology,Shaoxing People＇s Hospital in Zhejiang,Shaoxing 312000,China;Department of Emergency,Jinhua People＇s Hospital in Zhejiang,Jinhua 321000,China;Department of Gynecology,Jinhua People＇s Hospital in Zhe-jiang,Jinhua 321000,China)

机构地区：[1]浙江省金华市人民医院康复医学科,浙江金华321000 [2]浙江省绍兴市人民医院妇科,浙江绍兴312000 [3]浙江省金华市人民医院急诊科,浙江金华321000 [4]浙江省金华市人民医院妇科,浙江金华321000

出　　处：《中国现代医生》2018年第25期143-146,共4页China Modern Doctor

基　　金：浙江省公益技术应用研究分析测试和实验动物计划项目(2017C37046)

摘　　要：目的旨在探讨心理护理联合健康教育在HPV感染的宫颈癌合并糖尿病患者中的应用效果。方法选取2016年1月～2017年1月收治的76例宫颈癌合并糖尿病患者,所有患者均合并HPV感染,根据护理方法不同随机分成观察组和对照组,每组38例。对照组采取常规护理,观察组在对照组的基础上采取心理护理联合健康教育,对两组患者干预前后的负性心理及生活质量进行评价。结果观察组与对照组患者干预前的SAS评分、SDS评分组间比较,差异无统计学意义。干预后,观察组患者的焦虑(SAS)、抑郁(SDS)心理评分分别低于干预前及对照组,两组比较差异具有统计学意义(P<0.05)。观察组与对照组患者干预前的生活质量评各项评分比较,差异无统计学意义。观察组患者的生活质量各项评分分别低于干预前及对照组,两组比较差异具有统计学意义(P<0.05)。结论在HPV感染的宫颈癌合并糖尿病患者治疗过程中实施心理护理联合健康教育,可以显著缓解患者的负性心理,改善患者的生活质量,从而促进疾病的尽快恢复。Objective To investigate the application effect of psychological nursing combined with health education in the patients with HPV-infected cervical cancer complicated with diabetes. Methods 76 patients with cervical cancer complicated with diabetes who were admitted to our hospital between January 2016 and January 2017 were selected. All patients were complicated with HPV infection. According to different nursing methods, they were randomly divided into observation group and control group, with 38 cases in each group. The control group was given routine nursing care, and the observation group was given psychological nursing care combined with health education on the basis of the control group. The negative psychological and quality of life before and after the intervention in the two groups of patients were evaluated. Results There was no significant difference in the SAS score and the SDS score group before the intervention between the observation group and the control group. After the intervention, the anxiety （SAS） and de- pression （SDS） scores in the observation group were lower than those before the intervention and in the control group respectively. The difference between the two groups was statistically significant（P〈0.05）. There was no statistically significant dift^rence between the observation group and the control group in the scores of quality of life before inter- vention. The scores of quality of life in the observation group were lower than those before the intervention and in the control group respectively, and there was a statistically significant difference between the two groups （P〈0.05）. Con- clusion The combination of psychological nursing and health education in the treatment of the patients with HPV-in- fected cervical cancer complicated with diabetes can significantly relieve the negative psychology, improve the quality of life, and promote the early recovery of the disease.

关 键 词：糖尿病 宫颈癌 心理护理 健康教育 

分 类 号：R473.71[医药卫生—护理学]