高危HPV感染者心理状况及个性化护理干预效果分析
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摘要
目的对HPV感染妇女心理状况进行调查分析并探讨个性化护理干预效果。方法选择2017年1～7月在医院确诊为高危HPV感染者180例为HPV阳性组,另选择同期在医院行妇科健康体检者150例为对照组。比较两组综合心理评定结果、SAS评分与SDS评分。对HPV感染者实施个性化护理干预,比较干预前后综合心理评定结果、SAS评分与SDS评分。结果 HPV阳性组综合心理评定量表总均分为(0.97±0.20)分,显著高于对照组(P<0.05);阳性项目数显著多于对照组,差异有统计学意义(P<0.05)。HPV阳性组焦虑因子评分[(1.10±0.20)分]、抑郁因子[(1.10±0.31)分]、躯体化因子[(1.20±0.30)分]、敌对因子[(1.30±0.32)]评分均显著高于对照组,差异有统计学意义(P<0.05)。HPV阳性组SAS评分[(58.8±11.6)分],SDS评分[(57.9±10.3)分]显著高于对照组,差异有统计学意义(P<0.05)。干预后,HPV阳性组综合心理评定量表总均分(0.86±0.17)分,阳性项目数(56.1±10.3)个,显著低于干预前,差异有统计学意义(P<0.05)。干预后,HPV阳性组综合心理评定量表各因子得分较干预前显著下降,差异有统计学意义(P<0.05)。干预后,HPV阳性组SAS[(41.3±7.5)分]、SDS[(40.3±8.1)分]评分均显著低于干预前,差异有统计学意义(P<0.05)。结论 HPV感染妇女存在明显的焦虑、抑郁、躯体化等不良情绪,实施个性化护理干预,能够显著改善感染者的不良情绪,有利于病毒的清除。
Objective To investigate and analyze the psychological status of women with HPV infection and study the effect of personalized nursing intervention. Methods A total of 180 patients who were diagnosed with high-risk HPV infection in our hospital from January to July in 2017 were selected as the HPV-positive group. Another 150 patients who underwent gynecological health examinations in the same period were selected as the control group. The comprehensive psychological assessment results, SAS scores and SDS scores of the two groups were compared. Personalized nursing intervention was performed on HPV infected patients, and the comprehensive psychological assessment results,SAS scores and SDS scores before and after intervention were compared. Results The total score of the comprehensive psychological assessment scale of HPV positive group was(0.97±0.20) points, which was significantly higher than that of the control group(P<0.05). The number of positive items was significantly higher than that of the control group, and the difference was statistically significant(P<0.05). The scores of anxiety factor [(1.10±0.20) points], depression factor [(1.10±0.31) points], somatization factor[(1.20 ±0.30) points], hostile factor [(1.30 ±0.32) points] in HPV positive group were significantly higher than those of the control group, and the differences were statistically significant(P<0.05). The SAS score of HPV positive group was(58.8±11.6) points, and the SDS was(57.9±10.3) points, which were significantly high er than those of the control group, and the differences were statistically significant(P<0.05). After intervention, the total score of the comprehensive psychological assessment scale of HPV positive group was(0.86±0.17) points, and the number of positive items was(56.1±10.3) points, which was significantly lower than that before intervention, and the difference was statistically significant(P<0.05). After intervention, the scores of the factors in the HPV positive group's comprehensive psychological assessment scale decreased significantly compared with those before the intervention, and the differences were statistically significant(P<0.05). After intervention, the SAS of the HPV-positive group was(41.3±7.5) points,and the SDS was(40.3±8.1) points, which were significantly lower than those before the intervention, and the differences were statistically significant(P<0.05). Conclusion HPV-infected women have obvious anxiety, depression, somatization and other negative emotions. Implementing personalized nursing intervention can significantly improve the negative mood of infected patients and facilitate the elimination of HPV.
Objective To investigate and analyze the psychological status of women with HPV infection and study the effect of personalized nursing intervention. Methods A total of 180 patients who were diagnosed with high-risk HPV infection in our hospital from January to July in 2017 were selected as the HPV-positive group. Another 150 patients who underwent gynecological health examinations in the same period were selected as the control group. The comprehensive psychological assessment results, SAS scores and SDS scores of the two groups were compared. Personalized nursing intervention was performed on HPV infected patients, and the comprehensive psychological assessment results,SAS scores and SDS scores before and after intervention were compared. Results The total score of the comprehensive psychological assessment scale of HPV positive group was(0.97±0.20) points, which was significantly higher than that of the control group(P<0.05). The number of positive items was significantly higher than that of the control group, and the difference was statistically significant(P<0.05). The scores of anxiety factor [(1.10±0.20) points], depression factor [(1.10±0.31) points], somatization factor[(1.20 ±0.30) points], hostile factor [(1.30 ±0.32) points] in HPV positive group were significantly higher than those of the control group, and the differences were statistically significant(P<0.05). The SAS score of HPV positive group was(58.8±11.6) points, and the SDS was(57.9±10.3) points, which were significantly high er than those of the control group, and the differences were statistically significant(P<0.05). After intervention, the total score of the comprehensive psychological assessment scale of HPV positive group was(0.86±0.17) points, and the number of positive items was(56.1±10.3) points, which was significantly lower than that before intervention, and the difference was statistically significant(P<0.05). After intervention, the scores of the factors in the HPV positive group's comprehensive psychological assessment scale decreased significantly compared with those before the intervention, and the differences were statistically significant(P<0.05). After intervention, the SAS of the HPV-positive group was(41.3±7.5) points,and the SDS was(40.3±8.1) points, which were significantly lower than those before the intervention, and the differences were statistically significant(P<0.05). Conclusion HPV-infected women have obvious anxiety, depression, somatization and other negative emotions. Implementing personalized nursing intervention can significantly improve the negative mood of infected patients and facilitate the elimination of HPV.
引文
[1]俞智超. HPV感染与宫颈病变的相关性研究[J].中外女性健康研究,2017,26(15):87.
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[8]熊维,李玉红,朱亦男.门诊HPV阳性患者心理问题与护理对策[J].当代医学,2014,20(13):116-117.
[9]谢璇,朱天恒,李艳琴,等.女性HPV感染者的心理分析与心理护理的重要性[J].甘肃科技,2017,33(7):131-132.
[10]王旭,任玉香,陶雪梅,等. HPV阳性患者心理应激特点及其与情绪体验和社会支持的关系[J].第三军医大学学报,2017,39(16):1684-1690.
[11]董路湖,黄剑仪,黄美萍,等. HPV感染女性认知与心理状态分析及干预效果[J].护理实践与研究,2014,11(8):142-144.
[12]蔡军红,孙奕. HPV感染妇女心理状况的调查分析与个性化护理干预效果[J].广州医科大学学报,2017,27(5):71-74.
[13]刘静.育龄期女性梅毒患者实施个性化护理的效果分析[J].皮肤病与性病,2017,41(2):216-218.
[14]缪红莉,林春梅,王晓东.育龄期女性梅毒患者实施个性化护理的效果分析[J].新疆医科大学学报,2017,40(1):120-122.
[15]兰香,周燕,徐晓勋,等.电话随访对托里消毒散联合干扰素治疗宫颈HPV感染的护理效果研究[J].中国现代医生,2017,55(1):142-145.
[16]廖梅玲.个性化护理在产科护理中的应用[J].循证护理,2018,4(2):190-192.
[17]耿俊颖.个性化护理对老年恶性肿瘤患者心理应激反应及生活质量的影响[J].护理实践与研究,2016,13(10):56-57.
[18]肖晓琴.个性化护理干预对宫外孕患者临床治疗效果的影响[J].护理实践与研究,2018,15(3):76-78.
[19]李李.个性化心理护理对妇科恶性肿瘤患者生活质量和心理健康的影响[J].当代护士:专科版(下旬刊),2016,9(9):65-66.
[20]李娟.人性化、个性化护理在手术室护理中的应用体会[J].临床合理用药杂志,2012,5(7):171.
[2]董宇凤,高丽. HPV感染与宫颈病变的相关性及常见危险因素[J].中国性科学,2016,25(5):35-37.
[3]梁冬梅,韩春艳,吴永红.社区女性高危型HPV感染现状及感染者的心理护理[J].中华现代护理杂志,2017,23(27):3531-3533.
[4] Ruis C,van den Berg E,van Stralen HE,et al. Symptom Checklist 90-Revised in neurological outpatients[J]. J Clin Exp Neuropsychol,2014,36(2):170-177.
[5] Zung WWK. A rating instrument for anxiety disorders[J].Psychosomatics,1971,12(6):371-379.
[6] Zung WWK. A self-rating depression scale[J]. Arch Gen Psychiatry,1965,12(12):63-70.
[7]关文文,尹姣.门诊人乳头瘤病毒阳性患者初诊心理状况分析与护理对策[J].护理实践与研究,2011,8(4):99-101.
[8]熊维,李玉红,朱亦男.门诊HPV阳性患者心理问题与护理对策[J].当代医学,2014,20(13):116-117.
[9]谢璇,朱天恒,李艳琴,等.女性HPV感染者的心理分析与心理护理的重要性[J].甘肃科技,2017,33(7):131-132.
[10]王旭,任玉香,陶雪梅,等. HPV阳性患者心理应激特点及其与情绪体验和社会支持的关系[J].第三军医大学学报,2017,39(16):1684-1690.
[11]董路湖,黄剑仪,黄美萍,等. HPV感染女性认知与心理状态分析及干预效果[J].护理实践与研究,2014,11(8):142-144.
[12]蔡军红,孙奕. HPV感染妇女心理状况的调查分析与个性化护理干预效果[J].广州医科大学学报,2017,27(5):71-74.
[13]刘静.育龄期女性梅毒患者实施个性化护理的效果分析[J].皮肤病与性病,2017,41(2):216-218.
[14]缪红莉,林春梅,王晓东.育龄期女性梅毒患者实施个性化护理的效果分析[J].新疆医科大学学报,2017,40(1):120-122.
[15]兰香,周燕,徐晓勋,等.电话随访对托里消毒散联合干扰素治疗宫颈HPV感染的护理效果研究[J].中国现代医生,2017,55(1):142-145.
[16]廖梅玲.个性化护理在产科护理中的应用[J].循证护理,2018,4(2):190-192.
[17]耿俊颖.个性化护理对老年恶性肿瘤患者心理应激反应及生活质量的影响[J].护理实践与研究,2016,13(10):56-57.
[18]肖晓琴.个性化护理干预对宫外孕患者临床治疗效果的影响[J].护理实践与研究,2018,15(3):76-78.
[19]李李.个性化心理护理对妇科恶性肿瘤患者生活质量和心理健康的影响[J].当代护士:专科版(下旬刊),2016,9(9):65-66.
[20]李娟.人性化、个性化护理在手术室护理中的应用体会[J].临床合理用药杂志,2012,5(7):171.