护理干预对妇科恶性肿瘤术后化疗患者心理控制源倾向的影响

摘要

目的：探讨和评价综合护理干预对妇科恶性肿瘤患者术后化疗的心理控制源倾向的影响。方法：将98例行化疗治疗的妇科恶性肿瘤患者随机分为观察组50例、对照组48例，对照组采用妇科恶性肿瘤术后化疗常规护理，观察组在常规护理的基础上给予健康教育、心理护理、放松训练等护理措施，对2组患者治疗前后的宗氏焦虑量表(SAS)、抑郁量表(SDS)、多维度健康心理控制源量表(MHLC)和生活质量核心30问卷调查量表(QLQ-30)进行测定。结果：SAS、SDS量表评分观察组干预后降低显著(P＜0.05)；干预后2组比较差异显著(P＜0.05)。干预后观察组有势力的他人(PHLC)得分有所提高，内控(IHLC)得分有稍许提高，而机遇(CHLC)得分则有明显下降(P＜0.05)。QLQ-C30评分2组比较差异显著(P＜0.05)。结论：综合护理干预措施有助于改善妇科恶性肿瘤术后化疗患者的心理控制源倾向，且可改善患者的生存质量。%Objective:To explore and assess the impact of comprehensive nursing intervention on mental locus control of the patients undergoing chemotherapy after the operation of gynecological malignant tumors. Methods:All 98 patients were randomly divided into 50 cases of the observation group and 48 cases of the control group, the control group received routine nursing of chemotherapy after the operation of gynecological malignant tumor, and the observation group nursing measures including health education, mental care, relaxation training on the founda-tion of routine care, SAS, SDS, MHLC and QLQ-30 scales of the patients in both groups were detected before and after treating. Results:SAS and SDS of the observation group were lowered significantly after intervention (P<0.05);the difference was significant between both groups after the intervention (P<0.05). After the intervention, PHLC scales of the observation group were raised, IHLC scales were raised slightly, and CHLC scales were decreased ob-viously (P<0.05). The difference was significant in QLQ-C30 scales between both groups (P<0.05). Conclusion:Comprehensive nursing intervention is helpful to improve mental locus control of the patients undergoing chemotherapy afterh the operation of gynecological malignant tumor and life quality of the patients.