心理护理干预对妇科肿瘤患者睡眠状况及生命质量的影响  

Effect of Psychological Nursing Intervention on Sleep Status and Quality of Life in Patients with Gynecological Tumors

作　　者：黄玉珠[1] 谢吟梅[1] 林琳[1] 刘晓燕[1] HUANG Yuzhu;XIE Yinmei;LIN Lin;LIU Xiaoyan(The First Affiliated Hospital of Xiamen University,Xiamen 361001,China)

机构地区：[1]厦门大学附属第一医院,厦门361001

出　　处：《世界睡眠医学杂志》2022年第12期2391-2393,共3页World Journal of Sleep Medicine

摘　　要：目的:评价研究心理护理干预对妇科肿瘤患者睡眠状况及生命质量的影响。方法:选取2020年5月至2021年12月厦门大学附属第一医院妇产科收治的妇科肿瘤患者70例作为研究对象,按照随机数字表法分为观察组和对照组,每组35例。对照组给予围术期护理干预,观察组在对照组基础上重点开展心理护理干预。采用匹兹堡睡眠质量指数(PSQI)对妇科肿瘤患者睡眠质量进行评价,采用生命质量EORTC QLQ-C30量表从社会功能、躯体功能、认知功能、生理功能等维度对妇科肿瘤患者生命质量进行评价,采用抑郁自评量表(SDS)、焦虑自评量表(SAS),比较2组患者干预前后焦虑、抑郁状态的改善情况,同时比较2组患者护理满意度。结果:护理干预后,观察组PSQI评分、肠功能恢复时间、下床时间、住院时间、心率、舒张压、SAS评分、SDS评分、感染、血栓并发症总发生率均显著低于对照组,观察组护理干预后QLQ-C30生命质量评分、护理总满意度显著高于对照组,2组比较差异均有统计学意义(均P<0.05)。结论:心理护理干预对妇科肿瘤患者睡眠状况及生命质量具有积极影响,心理护理干预下,妇科肿瘤患者睡眠状况显著好转,生命质量显著提高,护理满意度显著提高,临床恢复指标显著好转,生命体征指标显著好转,心理情绪显著好转,并发症情况显著减少,因此,心理护理干预在妇科肿瘤患者中更具推广价值。Objective:To evaluate the effect of psychological nursing intervention on sleep status and quality of life in patients with gynecological tumors.Methods:A total of 70 patients with gynecological tumors admitted to the First Affiliated Hospital of Xiamen University from May 2020 to December 2021 were selected as research objects and divided into observation group and control group according to the random number table method,with 35 cases in each group.The control group received perioperative nursing intervention,and the observation group focused on psychological nursing intervention on the basis of the control group.Pittsburgh Sleep Quality Index(PSQI)was used to evaluate the sleep quality of patients with gynecological tumors,Quality of life EORTC QLQ-C30 scale was used to evaluate the quality of life of patients with gynecological tumors from the dimensions of social function,physical function,cognitive function and physiological function.The Self-rating Depression Scale(SDS)and Self-rating Anxiety Scale(SAS)were used to compare the improvement of anxiety and depression before and after the intervention,and the nursing satisfaction was compared as well.Results:After nursing intervention,PSQI score,intestinal function recovery time,getting out of bed time,hospital stay,heart rate,diastolic blood pressure,SAS score,SDS score,the total incidence of infection and thrombosis complications were significantly lower in the observation group than in the control group,and QLQ-C30 quality of life score and total nursing satisfaction in the observation group after nursing intervention were significantly higher than in the control group,the differences between the two groups were statistically significant(P s<0.05).Conclusion:Psychological nursing intervention has a positive impact on the sleep status and quality of life of patients with gynecological tumors.Under psychological nursing intervention,patients with gynecological tumors have significantly improved sleep status,quality of life,nursing satisfaction,clinical recove

关 键 词：心理护理干预 妇科肿瘤 睡眠状况 生命质量 

分 类 号：R737.3[医药卫生—肿瘤] R338.63[医药卫生—临床医学]