治疗性沟通对宫颈癌手术患者焦虑情绪及希望水平的影响  

Effect of Therapeutic Communication on Anxiety and Hope Level of Cervical Cancer Surgery Patients

作　　者：郑彩霞[1] 李雪 董水滢 谢敏 曹雪松 雷盼[1] ZHENG Caixia;LI Xue;DONG Shuiying;XIE Min;CAO Xuesong;LEI Pan(Department of Obstetrics and Gynecology,the Second Affiliated Hospital of Xi'an Jiaotong University,Xi'an 710004,China)

机构地区：[1]西安交通大学第二附属医院妇产科,陕西西安710004

出　　处：《中国医学伦理学》2022年第4期396-400,共5页Chinese Medical Ethics

摘　　要：为了评价治疗性沟通对宫颈癌患者术前焦虑和希望水平的影响,采用方便抽样法,选取2016年11月—2019年11月在西安交通大学第二附属医院妇产科收治的将要接受宫颈癌根治性手术治疗的住院患者作为研究对象。采取随机数字表法对50例患者进行分组,其中25例为试验组,25例为对照组。试验组在常规护理的基础上采取治疗性沟通,对照组给予常规护理。两组患者均在入院第一天和术前一天进行焦虑自评量表和Herth希望指数量表的调查。干预前,两组患者的各项指标差异无统计学意义(P>0.05),干预后,试验组患者焦虑水平明显低于对照组(P<0.05),希望水平明显高于对照组(P<0.05)。可见,治疗性沟通能有效缓解宫颈癌患者的术前焦虑,提高患者的希望水平,促进患者康复,缓解紧张的医疗关系。The aim is to evaluate the effect of therapeutic communication on cervical cancer patients'preoperative anxiety and hope level.The convenience sampling method was used to select the inpatients who will receive radical surgery for cervical cancer in the department of obstetrics and gynecology of the Second Affiliated Hospital of Xi'an Jiaotong University from November 2016 to November 2019 as the research object.50 patients were grouped by the random number table method:25 patients were in the intervention group,and 25 patients were in the control group.Patients in the intervention group were given therapeutic communication on the basis of routine nursing,and patients in the control group were given routine nursing.Both groups were investigated with the Self-Rating Anxiety Scale(SAS)and Herth Hope Index(HHI)on the first day of admission and the day before surgery.Before the intervention,there was no statistically significant difference between the two groups(P>0.05).After the intervention,the anxiety level of the intervention group was lower than that of the control group(P<0.05),and the hope level was higher than that of the control group(P<0.05).It can be seen that therapeutic communication can alleviate preoperative anxiety of cervical cancer patients,improve their hope level,promote patient recovery,and ease tense medical relationship.

关 键 词：治疗性沟通 宫颈癌 焦虑情绪 医患沟通 

分 类 号：R395[哲学宗教—心理学]