| Objective: Due to fear of a variety of treatments and prognosis, patients with gynecological malignant tumor under great psychological pressure in the process of diagnosis and treatment of disease. Many patients have symptoms of anxiety and depression. In Clinical, psychological problems in cancer patients are often overlooked. This study was to investigate the effects of combined psychological intervention on early postoperative recovery of gynecological cancer patients during perioperative period.Method: 201 patients who were diagnosed with cervical cancer, endometrial cancer or ovarian cancer had accepted surgical treatment(no chemotherapy and radiotherapy were performed before surgery), been divided into two group randomly. Patients in the control group were only recepted routine nursing intervention; On the basis of routine nursing intervention, patients in the intervention group were accepted combined psychological intervention, including listening to the music and loose inner image method and supportive psychological intervention, one time before operation and two times a day after surgery. The two groups were completed HADS and SSRS on the day before operation. All the patients should fill out the HADS scale again before discharge from hospital. To compare the effects of two differ intervention by HADS score, first exhaust time, first time leave the sickbed, indwelling time of drainage tube and the hospitalization time after the operation. Gathering information on patients demographic data(age, marriage, education,social support) and surgery related information(tumortype, stage, comorbidity, surgical history,mode of payment).Result: There are 201 patients participanted in the experiment and been divided into intervention group(group A) and control group(group B). There are 101 patients in the group A and 100 patients in the group B.1 One day before surgery, Patients whose HADS-A score more than 8 accounted for 25.4% of the total number, HADS-D score more than8 accounted for 14.9%. There were no significant differences between the two groups before operation(P>0.05). After psychological intervention, HADS-A and HADS-D score in the intervention group patients were significantly lower than the control group, the difference was statistically significant(P<0.05).2 The HADS-A and HADS-D scores of A group during the period of T1 were significantly lower than that of T0 stage, the difference was statistically significant(P<0.05). There was no significant difference in the HADS-Aand HADS-D scores of B group during the period of T1 and T0(P>0.05).3 The difference of first exhaust time and first time leave the sickbed was statistically significant between the two groups(P <0.05). There was no significant difference in the duration of drainage tube and length of hospital stay between the two groups(P>0.05).4 There were no significant differences between the two groups in demographic data(age, marriage, education,social support) and surgery related information(tumortype, stage, comorbidity, surgical history,mode of payment)(P>0.05), there have comparability between two groups.5 Multiple stepwise regression analysis of the effects of patients’ demographic data and surgery related information on the HADS score showned that age, education and marriage are the influence factors of the HADS score; The results of single factor analysis showed that young, divorced / widowed, highly educated patients are more prone to anxiety or depression.Conclusion: Combined psychological intervention can significantly improve the psychological pressure of patients with gynecological malignant tumor, reduce anxiety and depression, promote the recovery of patients at an early date. And it has the advantages of safe operation, noninvasive, low cost and so on. |
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