首页|基于风险因素的专项强化干预对宫颈癌手术患者心理状态和癌因性疲乏的影响

基于风险因素的专项强化干预对宫颈癌手术患者心理状态和癌因性疲乏的影响

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目的 探讨基于风险因素的专项强化干预对宫颈癌(CC)手术患者心理状态和癌因性疲乏的影响.方法 回顾性分析2021年1月至2023年6月丽水市中心医院收治的106例行CC根治术治疗的CC患者的临床资料,根据术后护理方式不同分为常规组(n=50)和风险组(n=56).常规组给予常规术后护理干预,风险组给予基于风险因素的专项强化干预.比较两组干预后心理状态、癌因性疲乏程度、术后康复情况和并发症发生率.结果 干预后,风险组焦虑、恐惧、饮食及睡眠评分均低于常规组(P<0.05).干预后,风险组躯体疲乏、情感疲乏、认知疲乏、对生活的影响评分均低于常规组(P<0.05).风险组住院时间短于常规组,卡氏功能状态评分量表(KPS)评分高于常规组(P<0.05);风险组并发症总发生率低于常规组(P<0.05).结论 基于风险因素的专项强化干预能够改善CC手术患者的心理状态,减轻癌因性疲乏,加速康复进程,降低术后并发症发生率.
Effects of specific intensive intervention based on risk factors on psychological state and cancer-related fatigue in patients undergoing cervical cancer surgery
Objective To explore the effects of specific intensive intervention based on risk factors on psychological state and cancer-related fatigue in patients undergoing cervical cancer(CC)surgery.Methods A retrospective analysis was performed on the clinical data of 106 patients with CC who underwent radical resection in Lishui Central Hospital between January 2021 and June 2023.According to different postoperative nursing methods,patients were divided into routine group(50 cases)and risk group(56 cases).The routine group was given routine postoperative nursing intervention,and the risk group was given specific intensive intervention based on risk factors.The psychological state,cancer-related fatigue degree,postoperative rehabilitation condition and incidence of complications were compared between the two groups.Results After intervention,scores of anxiety,fear,diet and sleep in risk group were all lower than those in routine group(P<0.05).After intervention,scores of physical fatigue,emotional fatigue,cognitive fatigue and impact on life in risk group were all lower than those in routine group(P<0.05).The hospital stay in risk group was shorter than that in routine group,and Karnofsky Performance Status(KPS)score was higher than that in routine group(P<0.05).The total incidence of complications in risk group was lower than that in routine group(P<0.05).Conclusions The special intensive intervention based on risk factors can improve psychological state,relieve cancer-related fatigue,accelerate rehabilitation process and reduce the incidence of postoperative complications in patients undergoing CC surgery.

Cervical cancerRisk factorSpecific intensive interventionPsychological stateCancer-related fatigue

张巧虹、季庆华、程青燕

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温州医科大学附属第五医院(丽水市中心医院)妇科,浙江丽水 323000

宫颈癌 风险因素 专项强化干预 心理状态 癌因性疲乏性

浙江省医药卫生科研项目

2021KY1243

2024

中国性科学
中国性学会

中国性科学

CSTPCD
影响因子:1.394
ISSN:1672-1993
年,卷(期):2024.33(9)
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