Integrated interventions for improving negative emotions and stress reactions of young women receiving total hysterectomy

International Journal of Clinical and Experimental Medicine

Quan Li¹  Shenghua Li¹  Chun-Bo Li¹  Fen Wang¹ 

关键词: Hysterectomy;    interventions;    negative emotion;    randomized controlled trial;    stress;   

DOI  :  

学科分类：医学（综合）

来源: e-Century Publishing Corporation

【 摘 要 】

50% of women had obvious abnormal emotions before hysterectomy and hysterectomy can cause strong mental stress reaction. This study was to investigate the impact of psychological health education based integrated interventions on the preoperative negative emotions and stress of patients younger than 45 years receiving total hysterectomy. Forty patients undergoing total hysterectomy were randomly divided into psychological intervention (PI) group and control group (n=20 per group). Patients in PI received peri-operative psychological intervention (supportive psychotherapy, health education, individual depth psychotherapy, family and society supportive care, education on anesthesia and surgery etc.); Interventions were not used in control group. Hamilton Anxiety Scale and Hamilton Depression Rating Scale were used to evaluate patients in two groups on admission (T₁) and before surgery (T₂; after interventions in PI group). Serum levels of cortisol and IL-6 were detected at T₁, T₂ and the second day after surgery (T₃). Results showed that 1) Patients had obvious anxiety and depression symptoms before and after total hysterectomy. For patients in PI group, the Hamilton Anxiety Scale (HAMA) score decreased from 14.4±5.9 to 9.1±4.2 and the Hamilton Depressing Scale (HAMD) score from 17.8±3.5 to 9.4±6.8 after interventions; 2) In PI group, the serum cortisol was 13.4±3.9 μg/dl at T₂ and 14.2±4.8 μg/dl at T₃ which were significantly lower than that at T₁ (16.6±4.0 μg/dl) and that in the control group at T₂ (13.4±3.9/15.5±4.3 μg/dl, t=2.10, P<0.05). Thus, preoperative integrated intervention based on psychological health education can improve peri-operative negative emotions and psychological stress in young patients undergoing hysterectomy.

【 授权许可】

Unknown