标题：强化心理疏导对卵巢癌患者围手术期心理状态及应激反应的影响

      作者：梁艳容，赵 妹，郭碧霞
    (广州市番禺区妇幼保健院南方医科大学附属何贤纪念医院妇科，广东 广州 511400)

      卷次： 2015年26卷8期

      【摘要】 目的 分析强化心理疏导对卵巢癌患者围手术期心理状态及应激反应的影响。方法 选择于
2012年 8月至 2014年 8月间在本院接受住院治疗的卵巢癌患者 76例作为研究对象，按照随机数表法分为对
照组 38例接受常规护理、观察组 38例接受围术期强化心理疏导，比较两组患者的围术期心理状态评分、应激
反应水平及应对方式评分差异。结果 (1)观察组患者接受强化心理疏导后的焦虑及抑郁评分低于对照组，
自尊评分高于对照组(P<0.05)；(2)术后观察组患者的血糖、肾上腺素、去甲肾上腺素、皮质醇值均明显低于对
照组(P<0.05)；(3)观察组患者接受强化心理疏导后的积极应对评分值高于对照组，消极应对评分值低于对照
组(P<0.05)。结论 强化心理疏导可优化卵巢癌的围术期心理状态，降低术后应激水平，促进患者积极应对疾
病治疗与康复。

      【关键词】 卵巢癌；强化心理疏导；心理状态；应激反应

      【中图分类号】 R737.31 【文献标识码】 A 【文章编号】 1003—6350（2015）08—1244—04


Effect of strengthened psychological counseling on perioperative psychological status and stress response in
patients with ovarian cancer.
LIANG Yan-rong, ZHAO Mei, GUO Bi-xia. Department of Gynecology, Hexian Memorial
Hospital of Panyu District of Guangzhou, Guangzhou 511400, Guangdong, CHINA

【Abstract】 Objective To analyze the effect of strengthened psychological counseling on perioperative psy-
chological status and stress response in patients with ovarian cancer. Methods Seventy-six patients of ovarian cancer
from August 2013 to August 2014 in our hospital were selected as research subjects. According to random number ta-
ble, the patients were divided into control group (38 cases, received routine care) and observation group (38 cases, re-
ceived strengthened psychological counseling). Perioperative psychological state score, stress response and coping
styles were compared between the two groups. Results (1) Patients' self-rating anxiety scale (SAS) and self-rating
depression scale (SDS) scores in the observation group were lower than those in the control group, while self-esteem
scale (SES) score was higher (P<0.05). (2) Patients' postoperative glucose (Glu), epinephrine (E), norepinephrine
(NE), cortisol (COI) values in the observation group were significantly lower than those in the control group (P<0.05).
(3) Patients' positive coping (PC) score value in the observation group was higher than that in the control group, and
negative coping (NC) score value was lower (P<0.05). Conclusion Strengthened psychological counseling could op-
timize perioperative psychological state of ovarian cancer patients, reduce postoperative stress level, and promote the
positive response to disease treatment and rehabilitation.

      【Key words】 Ovarian cancer; Strengthened psychological counseling; Psychological state; Stress response
基金项目：广州市番禺区科技和信息化局科技项目(编号：2014-Z03-583)