一体化协同干预对卵巢癌术后化疗患者心理状态、依从性的影响
Effect of integrated collaborative intervention on psychological states,compliance of postoperative chemotherapy patients with ovarian cancer
栾锦 1马晓 1马方方1
作者信息
- 1. 郑州大学第一附属医院妇科,郑州 4500000
- 折叠
摘要
目的 探讨一体化协同干预对卵巢癌术后化疗患者心理状态、依从性的影响.方法 将105例卵巢癌术后化疗患者根据干预方式的不同分为对照组(n=52)和观察组(n=53).对照组患者采取常规干预,观察组患者采取一体化协同干预.比较两组患者自我管理效能、心理状态、依从性以及不良反应发生情况.结果 干预后,两组患者正性态度、自我决策、自我减压评分均较干预前升高,且观察组患者正性态度、自我决策、自我减压评分均高于对照组,差异均有统计学意义(P﹤0.05).干预后,两组患者抑郁自评量表(SDS)、焦虑自评量表(SAS)评分均较干预前降低,且观察组患者SDS、SAS评分均低于对照组,差异均有统计学意义(P﹤0.05).观察组患者总依从率高于对照组,不良反应总发生率低于对照组,差异均有统计学意义(P﹤0.05).结论 一体化协同干预可提高卵巢癌术后化疗患者的自我管理效能,改善患者不良心理状态,提高患者依从性,降低不良反应发生率.
Abstract
Objective To investigate the effect of integrated collaborative intervention on psychological states,com-pliance of postoperative chemotherapy patients with ovarian cancer.Method A total of 105 patients with ovarian cancer were divided into control group(n=52)and observation group(n=53)according to different intervention methods.Pa-tients in control group received routine intervention,and patients in observation group received integrated collaborative intervention.Self-management efficacy,psychological status,compliance and adverse reactions were compared between the two groups.Result After the intervention,the positive attitude,self-decision making and self-stress reduction scores in both groups were higher than those before intervention,and the positive attitude,self-decision making and self-stress reduction scores of observation group were higher than those of control group,the differences were statistically signifi-cant(P<0.05).After intervention,the scores of self-rating depression scale(SDS)and self-rating anxiety scale(SAS)in both groups were lower than those before the intervention,and the scores of SDS and SAS in observation group were low-er than those in control group,the differences were statistically significant(P<0.05).The total compliance rate of observa-tion group was higher than that of control group,and the total incidence of adverse reactions was lower than that of con-trol group,the differences were statistically significant(P<0.05).Conclusion Integrated collaborative intervention can improve the self-management efficiency,improve the adverse psychological state and the compliance,reduce the inci-dence of adverse reactions in patients with ovarian cancer after chemotherapy.
关键词
卵巢癌/一体化协同干预/术后化疗/依从性Key words
ovarian cancer/integrated collaborative intervention/postoperative chemotherapy/compliance引用本文复制引用
基金项目
河南省医学科技攻关计划联合共建项目(LHGJ20230211)
出版年
2024
NETL
NSTL
万方数据