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目的:探讨优化心理疏导对行保守手术卵巢子宫内膜异位症(Ems)患者负面情绪、生活质量及护理满意度的影响。方法:李惠利东部医院于2016年1月开始针对行保守手术Ems患者给予优化心理疏导干预,以实施前后1年分别设为对照组和干预组,每组各选取患者100例;比较两组患者干预前后汉密尔顿焦虑量表评分(HAMA),汉密尔顿抑郁量表评分(HAMD)、症状自评量表评分(SCL90)、世界卫生组织生存质量评价量表评分(WHOQOLBREF)及护理满意度。结果:干预组患者干预后HAMA评分和HAMD评分均显著低于对照组、干预前(P<0.05);对照组患者干预前后SCL-90评分分别为(6.58±1.17)分,(3.81±0.86)分;干预组患者干预前后SCL-90评分分别为(6.70±1.20)分,(2.64±0.52)分;干预组患者干预后SCL-90评分显著低于对照组、干预前(P<0.05);干预组患者干预后WHOQOL-BREF评分显著高于对照组、干预前(P<0.05);对照组和观察组护理满意度分别为78.00%,94.00%;干预组患者护理满意度显著高于对照组(P<0.05)。结论:优化心理疏导用于行保守手术Ems患者可有效改善负面情绪状态,缓解症状体征,提高生活质量,并有助于建立和谐护患关系。
Objective: To investigate the influence of optimal psychological counseling on negative emotions, quality of life and satisfaction with nursing in patients with conservative ovarian endometriosis (Ems). Methods: East China Hospital of Li Huili began to optimize the psychological intervention for Ems patients undergoing conservative surgery in January 2016. The patients were enrolled as control group and intervention group one year before and after one year. 100 patients were selected from each group. HAMA, HAMD, SCL90, WHOQOLBREF and nursing satisfaction before and after the intervention. Results: The scores of HAMA and HAMD in intervention group were significantly lower than those in control group before intervention (P <0.05). The scores of SCL-90 in control group before and after intervention were (6.58 ± 1.17) and (3.81 ± 0.86) The scores of SCL-90 in the intervention group before and after intervention were (6.70 ± 1.20) and (2.64 ± 0.52) points respectively. The score of SCL-90 in the intervention group was significantly lower than that of the control group before intervention (P <0.05). The scores of WHOQOL-BREF in the intervention group were significantly higher than those in the control group before intervention (P <0.05), while those in the control group and the observation group were 78.00% and 94.00% respectively. The nursing satisfaction of the intervention group was significantly higher than that of the control group (P <0.05). Conclusion: Optimizing psychological counseling for patients with conservative surgery Ems can effectively improve the negative emotional state, relieve the symptoms and signs, improve the quality of life, and help to establish a harmonious relationship between nurses and patients.