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目的探讨心理护理干预在宫颈癌患者术后焦虑及性生活中的影响。方法选择2014年10月~2015年12月因宫颈癌在我院行手术治疗的住院的患者136例,随机分成对照组(n=68)和观察组(n=68),对照组采取常规治疗,不接受心理辅导,观察组在常规治疗基础上给予心理护理,对比观察两组患者干预前后SAS总分值、术后第4、6个月阴道干涩、性欲减退及性交疼痛情况以及性生活满意度情况。结果干预前,两组患者SAS评分比较无明显统计学差异(P=0.08314),干预前后,观察组患者SAS评分均较前下降,差异具有统计学意义(P=0.00364),对照组患者变化不明显(P=0.0924),干预后两组比较,观察组患者SAS评分明显低于对照组,差异具有统计学意义(P=0.00356);观察组患者在治疗后4个月、6个月时,阴道干涩、性欲减退及性交疼痛发生率均明显低于对照组,差异均具有统计学意义(分别P=0.00208、P=0.01165、P=0.00012、P=0.00215、P=0.00127、P=0.00211);观察组患者在治疗后4个月、6个月时,对性生活满意度明显高于对照组,差异均具有统计学意义(分别P=0.02732、P=0.00063)结论心理护理干预对宫颈癌患者术后焦虑及性生活有显著的改善,有助于性生活满意度的提高,值得推广。
Objective To investigate the psychological nursing intervention in patients with cervical cancer anxiety and sexual life. Methods A total of 136 hospitalized patients undergoing surgery for cervical cancer from October 2014 to December 2015 were randomly divided into control group (n = 68) and observation group (n = 68), and the control group received routine treatment , Did not receive psychological counseling. The observation group was given psychological care on the basis of routine treatment. The total score of SAS before and after the intervention, the vaginal dryness at the 4th and 6th month after operation, the loss of libido and sexual intercourse and the satisfaction of sexual life Degree situation. Results Before the intervention, there was no significant difference in SAS score between the two groups (P = 0.08314). Before and after the intervention, SAS scores of the observation group were significantly lower than before (P = 0.00364), while the control group did not change (P = 0.0924). After intervention, SAS scores in the observation group were significantly lower than those in the control group (P = 0.00356); in the observation group at 4 and 6 months after treatment, The incidence of vaginal dryness, loss of libido and sexual intercourse pain were significantly lower than those of the control group (P = 0.00208, P = 0.01165, P = 0.00012, P = 0.00215, P = 0.00127, P = 0.00211, respectively) In the observation group, satisfaction with sexual life was significantly higher than that of the control group at 4 months and 6 months after treatment (P = 0.02732, P = 0.00063, respectively). Conclusion The psychological nursing intervention on cervical cancer patients Postoperative anxiety and sexual life have significantly improved, contribute to the improvement of sexual life satisfaction, it is worth promoting.