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申敏, 刘小花, 蒋义娜. 基于社会心理学的人文关怀对子宫内膜癌患者术后身心状态、应激反应及应对方式的影响[J]. 中国妇幼卫生杂志, 2021, 12(5): 48-52. DOI: 10.19757/j.cnki.issn1674-7763.2021.05.011
引用本文: 申敏, 刘小花, 蒋义娜. 基于社会心理学的人文关怀对子宫内膜癌患者术后身心状态、应激反应及应对方式的影响[J]. 中国妇幼卫生杂志, 2021, 12(5): 48-52. DOI: 10.19757/j.cnki.issn1674-7763.2021.05.011
SHEN Min, LIU Xiao-hua, JIANG Yi-na. Influence of humanistic care based on social psychology on postoperative psychosomatic state, stress response and coping style of patients with endometrial cancer[J]. CHINESE JOURNAL OF WOMEN AND CHILDREN HEALTH, 2021, 12(5): 48-52. DOI: 10.19757/j.cnki.issn1674-7763.2021.05.011
Citation: SHEN Min, LIU Xiao-hua, JIANG Yi-na. Influence of humanistic care based on social psychology on postoperative psychosomatic state, stress response and coping style of patients with endometrial cancer[J]. CHINESE JOURNAL OF WOMEN AND CHILDREN HEALTH, 2021, 12(5): 48-52. DOI: 10.19757/j.cnki.issn1674-7763.2021.05.011

基于社会心理学的人文关怀对子宫内膜癌患者术后身心状态、应激反应及应对方式的影响

Influence of humanistic care based on social psychology on postoperative psychosomatic state, stress response and coping style of patients with endometrial cancer

  • 摘要: 目的 探讨基于社会心理学的人文关怀对子宫内膜癌患者术后身心状态、应激反应及应对方式的影响。方法 选取2018年7月-2020年7月郑州大学第一附属医院子宫内膜癌手术患者87例作为研究对象, 按照随机数字分组法分成两组, 对照组43例给予常规护理干预, 干预组44例给予基于社会心理学的持续性人文关怀, 观察两组患者身心状态、应激反应及应对方式。结果 两组干预后患者焦虑、抑郁情绪均有改善, 视觉模拟评分(visual analogue scale, VAS)分值均降低, 但干预组改善程度、降低幅度均高于对照组(P<0.05);两组术后24 h皮质醇及肾上腺素水平均升高, 但干预组升高幅度低于对照组(P<0.05);干预前后采用医学应对问卷评估, 其中包含“面对”“回避”及“屈服”3个维度, 两组干预后“面对”评分均升高, “回避”及“屈服”评分均降低, 但干预组“面对”评分升高、“回避”及“屈服”评分降低的幅度均高于对照组(P<0.05)。结论 基于社会心理学的人文关怀能够有效消除子宫内膜癌患者术后焦虑、抑郁情绪, 缓解疼痛, 降低应激反应, 改善患者的应对方式, 值得临床使用。

     

    Abstract: Objective To explore the influence of continuous humanistic care based on social psychology on postoperative physical and mental state, stress response and coping styles of patients with endometrial cancer.Methods Totally 87 patients who underwent endometrial cancer surgery in First Affiliated Hospital of Zhengzhou University from July 2018 to July 2020 were recruited as study objects. They were divided into two groups according to the random number method, of which 43 cases in the control group received routine nursing care, and 44 cases in the intervention group were given continuous humanistic care based on social psychology. The physical and mental state, stress response and coping style were observed between the two groups.Results After intervention, anxiety and depression were improved and Visual Analogue Scale (VAS) scores decreased in both groups. but the intervention group had sharper changes compared with the control group(P<0.05);Cortisol and adrenaline levels increased 24 hours postoperation in both groups, while intervention group increased less than control group(P<0.05); The scores of "faceing" increased, and the scores of"avoidance" and "surrender" decreased in both groups, while changes were bigger in the intervention group than those in the control group(P<0.05).Conclusion Continuous humanistic care based on social psychology can effectively eliminate postoperative anxiety and depression, relieve pain, reduce stress response in patients with endometrial cancer, and improve their coping style. It is worthy of clinical application.

     

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