摘要
目的 全面分析对卵巢癌化疗患者实施整合式心理护理联合全面引导护理的效果及对负面情绪、睡眠质量的影响.方法 选取2022年6月至2023年6月期间莆田市第一医院收治的卵巢癌化疗患者64例作为研究对象,通过抽签法随机分为两组,对照组32例,实施常规护理+整合式心理护理,观察组32例,在对照组基础上加以全面引导护理.对两组患者干预前、干预后的负面情绪如焦虑自评量表(Self-rating Anxiety Scale,SAS)、抑郁自评量表(Self-rating Depression Scale,SDS)、简易应对方式量表(Simplified Coping Style Questionnaire,SCSQ)、匹兹堡睡眠质量指数(Pittsburgh Sleep Quality Index,PSQI)得分进行比较.结果 干预前,两组患者的负面情绪、应对方式、睡眠质量得分差异无统计学意义(P＞0.05),干预后,在SAS、SDS、PSQI方面,观察组得分均低于对照组,差异有统计学意义(P＜0.05);在SCSQ方面,观察组的积极应对得分高于对照组,消极应对得分低于对照组(P＜0.05);观察组不良反应发生率低于对照组(P＜0.05).结论 在卵巢癌化疗患者中,施行整合式心理护理联合全面引导护理的方式有积极意义,可以有效改善患者的负性情绪与睡眠质量,有助于改善预后.
Abstract
Objective To comprehensively analyze the effect of integrated psychological nursing combined with comprehensive guidance nursing on negative emotions and sleep quality in patients with ovarian cancer un-dergoing chemotherapy.Methods 64 patients with ovarian cancer who received chemotherapy in our hospital from June 2022 to June 2023 were randomly divided into the control group(32 cases receiving routine nursing+integrated psychological nursing)and the observation group(32 cases receiving integrated psychological nursing+comprehensive guided nursing on the basis of control group)by lottery method.The scores of negative emotions(anxiety(SAS),depression(SDS)),coping style(SCSQ),and sleep quality(PSQI)before and after intervention were compared between the two groups.Results Before intervention,there was no significant difference in the scores of negative emotion,coping style,and sleep quality between the two groups(P＞0.05).After intervention,the scores of the observation group were lower than those of the control group in SAS,SDS and PSQI(P＜0.05).In terms of SCSQ,the positive coping score of the observation group was higher than that of the control group,and the negative coping score was lower than that of the control group(P＜0.05).The incidence of adverse reactions in the observation group was lower than that in the control group(P＜0.05).Conclusion In the patients with ovarian cancer chemo-therapy,the integrated psychological nursing combined with comprehensive guidance nursing has positive effect,and it can effectively improve the patients'negative emotions and sleep quality and help to improve the prognosis.
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