子宫颈上皮内瘤样病变患者心理分析和护理干预.doc

子宫颈上皮内瘤样病变患者心理分析和护理干预 　　摘要：目的探讨宫颈上皮内瘤样病变患者的心理特点，提供心理支持，探讨护理对策，提高患者的性生活质量。方法采用焦虑自评量表（SAS）和抑郁自评量表（SDS）对65例宫颈上皮内瘤样病变患者进行综合评定，对SDS、SAS评分≥50分者给予护理干预，同时进行针对性的心理护理，并于出院前的1 d再次进行测量。结果患者经护理干预后焦虑及抑郁程度相比干预前均明显降低（P＜0.05），差异具有统计学意义。结论对宫颈上皮内瘤样病患者的心理状况进行及时的掌握，并尽早进行心理治疗与干预护理，能有效改善患者焦虑与抑郁的症状，提高患者治疗的配合度，长期进行随访，有效提高患者的性生活质量。 　　关键词：护理干预；心理分析；宫颈上皮内瘤样病变 　　Patients with Cervical Intraepithelial Neoplasia Disorders of Psychological Analysis and Nursing Intervention 　　WEN Yan-yan 　　(Laixi Municipal Hospital ,Laixi 266600,Shandong,China) 　　Abstract：Objective To investigate the psychological characteristics of the patients with cervical intraepithelial neoplasia, providing psychological support, to explore nursing strategies to improve the quality of life of patients. MethodsSelf-Rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) for patients with tumor-like lesions in the 65 cases of cervical intraepithelial comprehensive assessment of the SDS, SAS score ≥ 50 points were given to nursing intervention, and targeted psychological care, and was discharged from hospital the day before were measured again. ResultsAnxiety and depression in patients with premenstrual degree nursing intervention after intervention were significantly lower compared (P 0.05), a statistically significant difference. ConclusionOn the psychological status of patients with cervical intraepithelial neoplasia of timely grasp and psychological treatment and care early intervention can effectively improve the symptoms of anxiety and depression in patients and improve the degree of patients treated with long-term follow-up, improve patient quality of life. 　　Key words：Nursing intervention;Psychological analysis; Cervical intraepithelial neoplasia disorders宫颈癌是临床常见的恶性肿瘤,宫颈上皮内瘤变与宫颈浸润癌有密切的关系，是发生宫颈浸润癌的一组癌前病变，包括宫颈原位癌与宫颈不典型增生，反映了整个宫颈癌发生的过程[1]。宫颈癌患者于癌前病变时进行及时的预防对于疾病的防治具有重要的意义，随着近年来宫颈检查设备与普及工作的进行，CIN患者的检出率越来越多，现对我科收治的65例CIN患者进行心理分析，提出了相关的护理干预措施，取得了较好的效果，现报告如下。 　　1资料与方法 　　1.1一般资料 选取2010年6月~2012年6月我院收治的65例宫颈上皮内瘤