CAJ | 학술논문

目的探讨心理干预对围手术期宫颈癌患者健康状况的影响。方法将100例住院围手术期宫癌颈患者随机平均分为两组，干预组在常规护理的基础上实施心理干预，常规组采用常规护理，两组患者在手术前和手术7 d后采用精神症状自评量表( SCL-90)进行问卷调查。结果心理干预前两组患者SCL-90各因子分比较，差异无显著性(P ＞0.05)。心理干预7 d后对照组患者躯体化、强迫症状、抑郁、焦虑、敌对性、恐怖、精神病性等因子分与对照组比较，差异有显著性( P ＜0.01)，人际关系、偏执等因子分与对照组比较差异有显著性( P ＜0.05)。结论心理干预对围手术期宫颈癌患者的负性心理状况有明显改善作用。
목적탐토심리간예대위수술기궁경암환자건강상황적영향。방법장100례주원위수술기궁암경환자수궤평균분위량조，간예조재상규호리적기출상실시심리간예，상규조채용상규호리，량조환자재수술전화수술7 d후채용정신증상자평량표( SCL-90)진행문권조사。결과심리간예전량조환자SCL-90각인자분비교，차이무현저성(P ＞0.05)。심리간예7 d후대조조환자구체화、강박증상、억욱、초필、활대성、공포、정신병성등인자분여대조조비교，차이유현저성( P ＜0.01)，인제관계、편집등인자분여대조조비교차이유현저성( P ＜0.05)。결론심리간예대위수술기궁경암환자적부성심리상황유명현개선작용。
Objective Explore the impact of psychological intervention on the health status of perioperative patients with cervical cancer.Method 100 cases of hospitalized patients which radiotherapy and chemotherapy in advanced cervical cancer were randomly divided into two groups. On the basis of routine care, the intervention group received the psychological intervention. The conventional group received routine care. After surgery 7 d before surgery, two groups of patients with psychiatric symptoms rating scale (SCL-90) questionnaire.Result There was no significant difference(P > 0.05), which compared of SCL-90 factors of the two groups of patients before psychological intervention. There were significant differences(P<0.01) which compard with the factors of somatization , obsessive-compulsive symptoms, depression, anxiety, hostility, terror, psychotic,etc by the control group of psychological intervention before and 7 days. there was significant difference(P <0.05), which compared factors of relationships, paranoia,etc with control group.Conlusion The psychological intervention has significantly improved the negative psychological status of perioperative patients with cervical cancer.