| Purposes:Survey the level of psychology and life quality on the endometriosis patients byquestionnaire during different periods, in order to explore the effect of cognitivebehavior intervention measures in endometriosis patients on their psychological stressand their life level. Cognitive behavior intervention measures used in this specialgroup of patients, to establish an effective, feasibility personalized intervention modelof cognitive behavior intervention for endometriosis and to provide a scientifictheoretical basis for psychological intervention in clinical nursing care.Methods and contents:Depend on the room number,120endometriosis patients were divided into twogroups equally, the intervention group and the control group. The control group wasgiven the common nursing care only, while the intervention group received cognitivebehavior intervention and the common nursing care. The cognitive behaviorintervention, including cognitive intervention and behavior intervention, was given bythe researcher privately from the day of admission until the day of discharge, once aday, for15minutes. From discharging to three months later, the intervention wasgiven once a month, for15minutes also. During this period, the intervention methodsalso include telephone calls and messages. The study investigates the generalconditions, the somatization, interpersonal sensitivity, depression, anxiety, using theSCL-90, and life quality, using the WHOQoL-BREF and EHP-5both in Chineseversion, of120endometriosis patients. The life quality was survey in be hospitalizedand3months after discharge, while the SCL-90was measured four times, on the dayof admission, day of discharge,1month later, and3months later. Compare the scoresof the two groups using SPSS20.0, including descriptive analysis, t test, χ2test,nonparametric test.Results:1. On the day of admission, the intervention group and the control group, age,occupation，labor intensity, sport intensity, medical expenses payment,operation history, smoking history, drinking history, health keeper application, medicalassistance cure，of the two groups, there was no difference (P>0.05), two groupswere comparable.In the terms of medial expulsive treatment, the intervention groupand the control group were no difference (P>0.05), two groups were comparable.2. Using the SCL-90to compare the endometriosis (N=120) with the Norms(N=1388), three domains, interpersonal sensitivity, depression and anxiety, havehigher sores than the normalized ones. The depression score (1.51±0.58) have nodifference with the normalized one (1.50±0.59),(P>0.05). The domains ofinterpersonal sensitivity and anxiety have significant difference (P<0.001). Thedomain of the somatization has no difference (P>0.05), with the sore (1.31±0.45)lower than the Norms (1.37±0.48).On the day of admission, using the SCL-90to compare the four domains sores,the somatization, interpersonal sensitivity, depression, anxiety, of the interventiongroup and the control group (P>0.05), two groups were comparable.On the day of discharge, using the SCL-90to compare the four domains sores,the somatization, interpersonal sensitivity, depression, anxiety, of the interventiongroup and the control group (P>0.05).One month after discharging, the intervention group and the control group wereno difference on the domains of the somatization, interpersonal sensitivity anddepression (P>0.05), but on the domain of anxiety the intervention group (0.94±0.68)had significant difference with the control group (1.91±0.45)(P<0.001).Three months after discharging, the intervention group and the control group hadsignificant difference on the four domains of the somatization, interpersonalsensitivity, depression and anxiety (P<0.001).3. Using the WHOQoL-BREF to compare the endometriosis (N=120) with theNorms (N=777), four domains scores, physical, psychological, environmental andsocial, were lower than the Norms. The domains of physical, psychological, andsocial have significant difference (P<0.001). The environmental domain’s sore(11.91±1.98) was lower than the Norms (12.14±2.08), but no no difference (P>0.05).On the day of admission, using the WHOQoL-BREF, two groups had no differenceon the four domains(P>0.05), two groups were comparable.Three months after discharging, the intervention group had higher scores on thefour domains than the control group and had significant difference on the domains ofphysical and psychology (P<0.001) and had no difference on the domains of social and environment (P>0.05).On the day of admission, using the EHP-5, two groups had no difference on allitems (P>0.05), two groups were comparable. Three months after discharging, twogroups had significant difference on the items of mood, social function, individualimage, sex life, medical staff, the feeling of the treatment and the sterileworrying(P<0.001).Conclusions:1. The endometriosis patients have some psychological problem, especially onthe anxiety level.2. The long-term benefits of the cognitive behavior intervention are moresignificant better than the control group, especially on the domains of anxiety anddepression.3. The quality of life of the endometriosis patients has received more seriousinterference.4. The effect of the cognitive behavior intervention on the psychological andphysical domains is significant better than the control group, especially the score ofthe psychological domain of the intervention group is higher than the Norms.Also, thethe cognitive behavior intervention can improve the quality of the endometriosispatients in the mood, social function, individual image, sex life, the sterile worryingand so on.5. Cognitive behavior intervention can release anxiety and depression so as toimprove the quality of life. |
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