Study on the psychological state of patients with gynecological malignant tumors and the current status of nursing intervention
妇科恶性肿瘤患者心理状态的研究及护理干预现状

摘要

目的 对妇科恶性肿瘤患者的心理状况进行调查，同时根据调查进行相应的护理，探析护理效果。方法 本研究开展时间为2019年1月-2020年1月，便利选取该时间段内我院收治的妇科恶性肿瘤患者40例作为主要研究对象。在研究的过程中使用（SCL-90）症状自评量表对患者的心理状况进行调查，根据调查结果实施相应的护理干预，同时将护理干预前后的调查结果进行详细的记录，比较护理前后患者的SCL-90评分。结果 通过评分结果分析得知，SCL-90评分与国内常模得分相比，无论是患者的躯体化、人际关系敏感，还是焦虑抑郁、敌对和偏执等得分，均高于国内常模，差异有统计学意义（P＜0.05）；所有患者接受相应的护理干预后，躯体化、人际关系敏感、焦虑抑郁、敌对和偏执等方面的得分得到了明显的改善，护理前后相比差异有统计学意义（P＜0.05）。结论 通过研究得知，躯体化、人际关系敏感、焦虑抑郁、敌对和偏执是妇科恶性肿瘤患者常见的不良心理状态，根据心理评估后实施相应的护理，能够有效的对以上不良心理表现进行改善，对患者生活质量的提升有着积极作用。

Abstract

Objective To investigate the psychological status of patients with gynecological malignant tumors, at the same time to carry out corresponding nursing according to the investigation, and to explore the effect of nursing.
Methods: This study was conducted from January 2019 to January 2020. It is convenient to select 40 patients with gynecological malignant tumors admitted to our hospital as the main research object during this period. Use the (SCL-90) symptom self-assessment scale to investigate the psychological status of patients during the study, implement corresponding nursing interventions based on the survey results, and record the survey results before and after nursing interventions in detail, comparing patients before and after nursing SCL-90 score.
Results: According to the analysis of the scoring results, compared with the domestic norm score, the SCL-90 score is higher than the domestic norm, whether it is the patient's somatization, interpersonal sensitivity, or anxiety, depression, hostility and paranoia statistically significant (P <0.05); after all patients received corresponding nursing intervention, the scores of somatization, interpersonal sensitivity, anxiety and depression, hostility and paranoia were significantly improved, and there was a statistical difference between before and after nursing significance (P <0.05).
Conclusion  : Through research, it is known that somatization, interpersonal sensitivity, anxiety, depression, hostility and paranoia are common adverse mental states in patients with gynecological malignant tumors. Carrying out corresponding care after psychological evaluation can effectively improve the above-mentioned adverse psychological performance, which has a positive effect on improving the quality of life of patients.