压力管理在妇科肿瘤化疗患者中的应用  

Application of stress management in gynecologic patients under chemotherapy for tumors

作　　者：吴爱平 黄群[2] 范建萍[1] 张伟峰[1] Wu Aiping;Huang Qun;Fan Jianping;Zhang Weifeng(Department of Gynecology, Ningbo Women and Children's Hospital, Ningbo 315012, China;Department ofNursing, Ningbo Women and Children's Hospital, Ningbo 315012, China)

机构地区：[1]宁波市妇女儿童医院妇科,315012 [2]宁波市妇女儿童医院护理部,315012

出　　处：《中华现代护理杂志》2019年第16期2067-2071,共5页Chinese Journal of Modern Nursing

摘　　要：目的探讨压力管理在妇科肿瘤化疗患者中的应用效果.方法采用便利抽样法,选择宁波市妇女儿童医院2017年1-12月收治的妇科肿瘤患者110 例为研究对象.按随机数字表分组法将患者分为对照组和试验组,每组各55 例,对照组实施常规护理,试验组在此基础上实施压力管理护理.比较两组患者化疗后不良反应发生率;采用SAS、SDS、生命质量核心量表评估干预的效果.结果干预后试验组患者化疗后不良反应发生率低于对照组,差异有统计学意义(P<0.05).干预后试验组患者SAS、SDS得分低于对照组,差异有统计学意义(P<0.05).干预后试验组患者的功能量表、整体生活质量得分高于对照组,差异有统计学意义(P<0.05);症状量表、单项测量项目得分低于对照组,差异有统计学意义(P<0.05).结论压力管理能降低妇科肿瘤化疗患者不良反应发生率,调节患者心理状况,从而提高患者的生活质量.Objective To explore the effects of stress management in relieving adverse reactions after chemotherapy in gynecologic tumor patients. Methods A total of 110 gynecologic oncology patients who were hospitalized in Ningbo Women and Children Hospital from January 2017 to December 2017 were selected by convenience sampling. The patients were divided into control group(n=55) and experimental group(n=55) according to simple random grouping method. The control group was given routine nursing. On this basis, the experimental group received stress management nursing. The incidence of adverse reactions after chemotherapy was compared between the two groups;the Self-rating Anxiety Scale (SAS), the Self-rating Depression Scale (SDS) and the Quality of Life Questionnaire(QLQ-C30) were used to evaluate the psychological status of the two groups. Results After the implementation of stress management, the incidence of adverse reactions after chemotherapy in the experimental group was lower than that in the control group, the difference was statistically significant (P< 0.05). After the intervention in the experimental group, the SAS and SDS scores were lower than the control group with statistical significance (P<0.05). The scores of functional scale and the quality of life in the experimental group were higher than the control group, and the differences were statistically significant (P<0.05). The experimental group had lower score in "symptoms scale" and each test items than that of the control group with statistical significances(P<0.05). Conclusions Stress management can reduce the incidence of adverse reactions in patients with gynecologic cancer chemotherapy, and adjust the psychological status of patients, thus improving the quality of life of patients.

关 键 词：压力 生殖器肿瘤 女(雌)性 生活质量 不良反应 心理状况 

分 类 号：R473.73[医药卫生—护理学]