4C延续性干预模式对宫颈癌全腹腔镜广泛宫颈切除术患者焦虑抑郁、癌因性疲乏和生活质量的影响

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英文篇名：The effect of 4C continuous intervention model on anxiety,depression, cancer-related fatigue and quality of life in patients with cervical cancer undergoing laparoscopic radical hysterectomy 作者：刘慧 ; 秦颖颖 ; 孙丽霞 ; 陈玉红 英文作者：LIU Hui;QIN Yingying;SUN Lixia;Operative Department,First Affiliated Hospital of Zhengzhou University; 关键词：4C延续性干预 ; 全腹腔镜广泛宫颈切除术 ; 焦虑 ; 抑郁 ; 生活质量 ; 癌因性疲乏 英文关键词：4C continuous care;;Laparoscopic radical hysterectomy;;Anxiety;;Depression;;Quality of life;;Cancer-related fatigue 中文刊名：JKXL 英文刊名：China Journal of Health Psychology 机构：郑州大学第一附属医院手术部;山东省潍坊市临朐县人民医院; 出版日期：2019-05-05 出版单位：中国健康心理学杂志 年：2019 期：v.27 基金：山东省自然科学基金项目(编号:ZR2016HM086) 语种：中文; 页：JKXL201906015 页数：5 CN：06 ISSN：11-5257/R 分类号：59-63

摘要

目的:探讨分析4C延续性干预模式对宫颈癌全腹腔镜广泛宫颈切除术患者焦虑抑郁、癌因性疲乏和生活质量的影响。方法:选取本院收治的132例行全腹腔镜广泛宫颈切除术的宫颈癌患者作为观察对象,将所选患者按照不同干预方式分为观察组与对照组,每组各66例,对照组患者给予常规干预,观察组患者在对照组基础上同时给予4C延续性干预模式。回顾性分析两组患者的临床资料,比较两组患者在干预前后的心理状况、癌因性疲乏程度及生活质量。结果:干预后,观察组患者SAS、SDS评分明显低于对照组(t=-9.103,-9.346;P<0.001)。干预后,观察组患者生活质量各维度评分明显高于对照组(t=22.015,16.312,17.998,21.913,10.514,12.35;P<0.001)。干预后,观察组患者癌因性疲乏轻度患者比例明显高于对照组(χ~2=20.651,P<0.001),癌因性疲乏重度患者比例明显低于对照组(Z=-4.415,P<0.001)。结论:对宫颈癌全腹腔镜广泛宫颈切除术患者实施4C延续性干预,可以有效改善患者不良心理状况,缓解患者癌因性疲乏程度,提高患者预后生活质量。
        Objective:To investigate the effect of 4C continuous intervention mode on anxiety,depression,cancer-related fatigue and quality of life in patients with cervical cancer undergoing laparoscopic radical hysterectomy.Methods:A total of 132 cases of cervical cancer treated by laparoscopic radical hysterectomy in our hospital were selected as the object of observation,divide the patients into the observation group and the control group according to different intervention methods,with 66 cases in each group,patients in the control group were given routine surgical intervention,patients in the observation group were treated with 4C continuous intervention on the basis of the control group.The clinical data of two groups of patients were retrospectively analyzed.The psychological status,cancer-related fatigue and quality of life were compared between the two groups before and after nursing.Results:After nursing,the scores of SAS and SDS in the observation group were lower than those in the control group(t=-9.103,-9.346,P<0.001).After nursing,the scores of life quality in the observation group were significantly higher than those in the control group(χ~2=18.364,P<0.001).After nursing,the proportion of patients with cancer-related fatigue in observation group was significantly higher than that in control group(χ~2=20.651,P<0.001),the proportion of patients with cancer-related fatigue was significantly lower than that of the control group(χ~2=7.765,P<0.001).Conclusion:4C continuous intervention for patients with cervical cancer undergoing extensive laparoscopic radical hysterectomy,can reduce the anxiety and depression degree of patients,reduce the symptom degree of cancer-related fatigue,and effectively improve the prognosis and the quality of life of the patients,and is worthy of clinical application.

引文

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