人文关怀联合治疗性沟通干预对子宫肌瘤患者全子宫切除术后自尊水平的影响  

Effect of humanistic care combined with therapeutic communication intervention on selfesteem of patients with uterine fibroids after hysterectomy

作　　者：程晔 边晗阳 周楼赟 王加颖 李丽霞 吕佳 邵伟维 CHENG Ye;BIAN Han-yang;ZHOU Lou-yun;WANG Jia-ying;LI Li-xia;LV Jia;SHAO Wei-wei(Department of Gynecological Nursing,Yongkang Maternal and Child Health Hospital,Yongkang,Zhejiang 321302,China;不详)

机构地区：[1]永康市妇幼保健院妇科,浙江永康321302 [2]宁波大学医学院附属医院产科

出　　处：《环境与健康杂志》2025年第2期168-172,共5页Journal of Environment and Health

基　　金：2021年浙江卫生健康科技计划(2021KY1047)。

摘　　要：目的探讨人文关怀联合治疗性沟通干预对子宫肌瘤患者全子宫切除术后自尊水平的影响。方法将2022年1月—2023年12月于永康市妇幼保健院接受子宫肌瘤全子宫切除术的82例患者随机分为两组。对照组41例予以常规临床干预,研究组41例在此基础上予以人文关怀导向的治疗性沟通干预。比较两组干预前后焦虑自评量表(SAS)、抑郁自评量表(SDS)评分、自尊水平、应对方式,并评价患者的生活质量及干预满意度。结果干预后,研究组的SAS、SDS评分分别为(40.82±4.67)分、(40.19±4.75)分,明显低于对照组的(46.72±4.82)分、(48.29±3.38)分,差异有统计学意义(P<0.05);干预后,研究组的状态自尊量表(SSES)量表中行为自尊、社会自尊、外表自尊评分分别为(24.57±2.33)分、(22.41±3.08)分、(20.39±2.59)分,明显高于对照组的(21.55±3.43)分、(18.74±3.24)分、(16.87±2.32)分,差异有统计学意义(P<0.05);干预后,研究组的积极应对评分为(28.74±3.25)分,高于对照组的(24.63±3.31)分,消极应对评分为(9.49±2.56)分,低于对照组的(13.24±2.51)分,差异有统计学意义(P<0.05);干预后研究组的生活质量综合评定表(GQOLI-74)中躯体功能、社会功能、心理健康及健康状态评分分别为(79.77±10.86)分、(73.65±12.21)分、(75.73±11.35)分、(78.46±8.54)分,明显高于对照组的(62.95±8.39)分、(65.42±9.25)分、(67.59±12.64)分、(67.52±9.34)分,差异有统计学意义(P<0.05);研究组的干预满意度为92.68%,高于对照组(73.17%),差异有统计学意义(P<0.05)。结论人文关怀联合治疗性沟通干预对子宫肌瘤患者全子宫切除患者的干预效果显著,可有效改善患者的心理状态,提高其术后自尊水平,改善其应对方式,提升其生活质量及干预满意度。Objective To understand the effect of humanistic care combined with therapeutic communication intervention on the self-esteem of patients with uterine fibroids after hysterectomy.Methods 82 patients with uterine fibroids undergoing total hysterectomy in the hospital from January 2022 to December 2023 were randomly divided into two groups,the control group(n=41)was given routine clinical intervention,while the study group(n=41)received humanistic care-oriented therapeutic communication intervention.The self-rating anxiety scale(SAS),self-rating depression scale(SDS),self-esteem and cope style were compared before and after intervention,and the quality of life and intervention satisfaction were evaluated.Results After intervention,the SAS score and SDS score in the study group were(40.82±4.67)points and(40.19±4.75)points,which were significantly lower than(46.72±4.82)points and(48.29±3.38)points in the control group(P<0.05).After intervention,the scores of behavior,social and appearance self-esteem of state self-esteem scale(SSES)in the study group with(24.57±2.33)points,(22.41±3.08)points and(20.39±2.59)points were significantly higher than(21.55±3.43)points,(18.74±3.24)points and(16.87±2.32)points in the control group(P<0.05).The score of positive coping with(28.74±3.25)points in the study group after intervention was higher than(24.63±3.31)points in the control group while the score of negative coping with(9.49±2.56)points was lower than(13.24±2.51)points in the control group(P<0.05).After intervention,the scores of dimensions of body function,social function,mental health and health status of generic quality of life inventory-74(GQOLI-74)with(79.77±10.86)points,(73.65±12.21)points,(75.73±11.35)points and(78.46±8.54)points in the study group were significantly higher than(62.95±8.39)points,(65.42±9.25)points,(67.59±12.64)points and(67.52±9.34)points in the control group(P<0.05).The intervention satisfaction in the study group(92.68%)was significantly higher than that in the control group(73

关 键 词：子宫肌瘤 全子宫切除术 人文关怀 治疗性沟通 心理状态 自尊水平 应对方式 满意度 

分 类 号：R47[医药卫生—护理学]