目的:观察健康教育对妇科肿瘤术后化疗患者心理状况及生存质量的影响.方法:将148例患者随机分为观察组、对照组各74例,对照组给予常规护理,观察组给予健康教育结合放松训练护理.比较2组干预前后抑郁自评量表(SDS)评分、焦虑自评量表(SAS)评分、生活质量评分的变化情况以及护理满意度.结果:SAS、SDS评分干预前后2组组内比较,差异有统计学意义(P<0.05);干预后组间比较差异也有统计学意义(P<0.05).生理、心理、社会、环境等各维度评分干预前后2组组内比较,差异有统计学意义(P<0.05);干预后组间比较差异有统计意义(P<0.05).总满意率观察组高于对照组,2组比较差异有统计学意义(P<0.05).结论:恰当的健康教育模式有助于妇科肿瘤术后行化疗患者减轻心理负面状态,提高生存质量及护理满意度.%Objective: To observe the effects of health education on mental state and quality of life of the patients undergoing chemotherapy after the surgery of gynecologic tumor. Methods: All 148 patients were randomized into the observation group and the control group, 74 cases each group, the control group accepted routine care and the observation group health education combined with relaxation training nursing. Nursing satisfaction degrees,the changes of the scales of quality of life,SAS and SDS of both groups were compared before and after the intervention.Results:The difference had statistical meaning in the comparison of SAS and SDS within two groups before and after the intervention(P<0.05);and the difference had statistical meaning in the comparisons between both groups after the intervention (P<0.05).The difference was statistically significant in the comparisons of the scales of different dimensions including physiology,psychology,society,environment and others within two groups (P<0.05);and the difference showed statistical meaning in the comparisons between both groups after the intervention (P<0.05).The observation group was higher than the control group in total satisfaction degrees,and there was a significant difference(P<0.05).Conclusion:Appropriate health education model could help the patients undergoing chemotherapy who accepted the surgery of gynecologic tumor lighten psychological burden, improve quality of life and nursing satisfaction degrees.
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