CAJ | 학술논문

【目的】探讨全子宫切除术后强化心理干预对缓解负性情绪及改善性生活质量的影响。【方法】选择行全子宫切除的患者200例，按照入院时间分为两组，每组100例，对照组给予常规护理，观察组在常规护理基础上采用针对性的心理护理干预，采用焦虑（SAS）、抑郁（SDS）自评量表评价负性情绪，采用女性性功能量表（FSFI）测评干预前后患者性功能状态。【结果】干预6个月后，观察组患者 SAS （34．38±11．26）分、SDS （34．21±8．76）分评分显著降低，缓解效果优于对照组（40．73±11．52）分、（49．73±8．88）分（ P ＜0．05）；观察组干预6个月后FSFI总分及各维度评分均明显优于对照组（ P ＜0．05）。【结论】子宫全切患者存在焦虑、抑郁等负性情绪，心理干预能有效缓解负性心理，提高术后性生活质量。
【목적】탐토전자궁절제술후강화심리간예대완해부성정서급개선성생활질량적영향。【방법】선택행전자궁절제적환자200례，안조입원시간분위량조，매조100례，대조조급여상규호리，관찰조재상규호리기출상채용침대성적심리호리간예，채용초필（SAS）、억욱（SDS）자평량표평개부성정서，채용녀성성공능량표（FSFI）측평간예전후환자성공능상태。【결과】간예6개월후，관찰조환자 SAS （34．38±11．26）분、SDS （34．21±8．76）분평분현저강저，완해효과우우대조조（40．73±11．52）분、（49．73±8．88）분（ P ＜0．05）；관찰조간예6개월후FSFI총분급각유도평분균명현우우대조조（ P ＜0．05）。【결론】자궁전절환자존재초필、억욱등부성정서，심리간예능유효완해부성심리，제고술후성생활질량。
[Objective]To explore the impact of the intensified psychological intervention after total hyster-ectomy for alleviating negative mood and improving quality of life .[Methods] Totally 200 patients undergoing total hysterectomy were chosen .According to admission time ,all patients were divided into two groups with 100 patients in each group .The control group was given routine nursing care ,while the observation group was given the directed psychological nursing intervention based on conventional care .Anxiety(SAS) and depression (SDS) self-rating scales were used to evaluate negative emotion .Female sexual function index(FSFI) was used to evaluate sexual function status of patients before and after intervention .[Results]After 6 months of inter-vention ,SAS(34 .38 ± 11 .26) and SDS(34 .21 ± 8 .76) in observation group were decreased significantly ,and the alleviation effect in observation group was better than control group [(40 .73 ± 11 .52) and (49 .73 ± 8 .88) , respectively ]( P <0 .05) .The total scores of FSFI and the scores of all dimensions in observation group were obviously better than control group ( P < 0 .05) .[Conclusion] Patients undergoing total hysterectomy have anxiety ,depression and other negative emotions .Psychological intervention can effectively relieve negative psychology and improve quality of life after operation .