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目的探讨聚焦解决教育模式对宫颈癌子宫切除术患者心理危机水平和应对方式的干预效果。方法选取2014年2月至2015年2月间湖北省荆州市中心医院收治的45例行宫颈癌切除患者为对照组,选取2015年3月至2016年2月间行宫颈癌子宫切除术的45例患者为观察组,观察组患者在常规护理基础上应用聚焦解决教育模式,对照组患者行常规护理,采用《宫颈癌心理危机评估表》与《宫颈癌手术应对方式量表》评定护理后,两组患者心理危机水平和应对方式。结果观察组患者心理危机程度及情绪、认知和行为三维度得分均明显低于对照组,两组比较,差异有统计学意义(P<0.05);观察组患者回避、屈服维度得分明显低于对照组,两组比较,差异有统计学意义(P<0.05);宫颈癌患者所采用的应对方式主要是面对,观察组患者占88.9%,对照组患者占68.9%,两组比较,差异有统计学意义(P<0.05)。结论采用聚焦解决教育模式策略可以减轻子宫切除患者的心理危机程度,使其应用积极的应对方式。
Objective To explore the intervention effect of focusing on the education mode on the level of psychological crisis and coping style of patients with cervical cancer hysterectomy. Methods From February 2014 to February 2015, 45 cases of patients with cervical cancer who underwent resection in Central Hospital of Jingzhou, Hubei Province were selected as the control group. From March 2015 to February 2016, 45 cases underwent cervical cancer hysterectomy The patients in the observation group and the observation group were treated with the focus on routine nursing education and the control group were given routine nursing care. After assessing the cervical cancer psychological crisis assessment scale and the cervical cancer operation response scale, Two groups of patients with psychological crisis and coping styles. Results The degree of psychological crisis and the three-dimensional scores of emotion, cognition and behavior in the observation group were significantly lower than those in the control group, with significant difference between the two groups (P <0.05). In the observation group, the scores of avoidance and yield dimensions were significantly lower The difference between the two groups was statistically significant (P <0.05). The coping style of cervical cancer patients was mainly confronted with 88.9% of patients in observation group and 68.9% of patients in control group. There was significant difference between the two groups There was statistical significance (P <0.05). Conclusion Focusing on the educational mode strategy can reduce the degree of psychological crisis in patients with hysterectomy and make it apply a positive coping style.