心理危机干预对宫颈癌手术患者心理危机水平及自我效能的影响  

Effect of psychological crisis intervention on the psychological crisis level and self-efficacy of patients with cervical cancer surgery

作　　者：张颖兰[1] 茹玉[1] Zhang Yinglan;Ru Yu(Department of Gynaecology, the First People's Hospital of Changzhou, Changzhou 213003, China)

机构地区：[1]江苏省常州市第一人民医院妇科,213003

出　　处：《中国实用护理杂志》2019年第16期1233-1237,共5页Chinese Journal of Practical Nursing

摘　　要：目的探讨心理危机干预对宫颈癌手术患者心理危机水平及自我效能的影响,旨在为宫颈癌手术患者寻找有效心理干预方案提供参考。方法选择2016年1月至2017年12月收治的宫颈癌手术患者134例为研究对象,采用随机数字表法分为观察组和对照组各67例。对照组给予常规护理干预,观察组联合应用心理危机干预。术后随访6个月,比较2组患者心理危机水平、自我效能感、生命质量等指标。结果观察组、对照组分别完成研究63、60例。观察组情感、认知、行为心理危机评分分别为(4.32 ± 0.56)、(3.45 ± 0.54)、(3.56 ± 0.62)分,明显低于对照组的(5.45 ± 0.72)、(5.36 ± 0.74)、(4.24 ± 0.68)分,差异有统计学意义(t=9.742、16.408、5.800, P<0.05或0.01);观察组自我决策、自我减压、正性态度评分分别为(12.45 ± 1.35)、(43.12 ± 5.45)、(64.35 ± 7.32)分,明显高于对照组的(10.32 ± 1.42)、(40.12 ± 4.65)、(57.36 ± 6.52)分,差异有统计学意义(t=8.528、3.277、5.582,P<0.05或0.01);观察组认知功能、社会功能、躯体功能、情感功能评分分别为(8.45 ± 1.10)、(8.22 ± 1.14)、(7.65 ± 0.72)、(8.15 ± 1.21)分,明显高于对照组的(7.12 ± 0.84)、(7.32 ± 1.10)、(6.54 ± 0.70)、(7.45 ± 1.10)分,差异有统计学意义(t=3.352~8.663, P<0.05或0.01)。结论心理危机干预有助于化解宫颈癌手术患者心理危机,促进自我效能的养成,改善生命质量。Objective To investigate the effect of psychological crisis intervention on the psychological crisis level and self-efficacy of patients with cervical cancer surgery, so as to provide reference for finding effective psychological intervention for patients with cervical cancer surgery. Methods A total of 134 patients with cervical cancer surgery from January 2016 to December 2017 were divided into treatment group and control group with 67 cases each by randomized digital table method. The control group received routine nursing intervention, while the treatment group combined with psychological crisis intervention. Postoperative follow-up for 6 months, the psychological crisis level, self-efficacy, quality of life and other indicators were compared between the two groups. Results A total of 63 cases in the treatment group and 60 cases in the control group completed the study. The scores of emotional, cognitive, and behavioral psychological crisis in the treatment group were (4.32±0.56),(3.45±0.54), and (3.56±0.62) points, respectively, which were significantly lower than those in the control group (5.45±0.72),(5.36±0.74), and (4.24±0.68) points, the difference was statistically significant (t=9.742, 16.408, 5.800, P<0.05 or 0.01). Self-decision, self-decompression, and positive attitude scores were (12.45±1.35),(43.12±5.45), and (64.35±7.32) points, respectively, which were higher than the control group (10.32±1.42),(40.12±4.65), and (57.36±6.52) points, the difference was statistically significant (t=8.528, 3.277, 5.582, P <0.05 or 0.01). The cognitive function, social function, physical function and emotional function scores of the treatment group were (8.45±1.10),(8.22±1.14),(7.65±0.72),(8.15±1.21) points, respectively, which were higher than those of the control group (7.12±0.84),(7.32±1.10),(6.54±0.70),(7.45±1.10) points, the difference was statistically significant(t=3.352- 8.663, P <0.05 or 0.01). Conclusions Psychological crisis intervention can help resolve the psychological crisis of p

关 键 词：宫颈肿瘤 外科手术 生活质量 心理危机干预 自我效能 

分 类 号：R473.73[医药卫生—护理学]