Effect of psychological crisis intervention on the psychological crisis level and self-efficacy of patients with cervical cancer surgery

Abstract

Objective To investigate the effect of psychological crisis intervention on the psychological crisis level and self-efficacy of patients with cervical cancer surgery, so as to provide reference for finding effective psychological intervention for patients with cervical cancer surgery. Methods A total of 134 patients with cervical cancer surgery from January 2016 to December 2017 were divided into treatment group and control group with 67 cases each by randomized digital table method. The control group received routine nursing intervention, while the treatment group combined with psychological crisis intervention. Postoperative follow-up for 6 months, the psychological crisis level, self-efficacy, quality of life and other indicators were compared between the two groups. Results A total of 63 cases in the treatment group and 60 cases in the control group completed the study. The scores of emotional, cognitive, and behavioral psychological crisis in the treatment group were (4.32±0.56), (3.45±0.54), and (3.56±0.62) points, respectively, which were significantly lower than those in the control group (5.45±0.72), (5.36±0.74), and (4.24±0.68) points, the difference was statistically significant (t=9.742, 16.408, 5.800, P<0.05 or 0.01). Self-decision, self-decompression, and positive attitude scores were (12.45±1.35), (43.12±5.45), and (64.35±7.32) points, respectively, which were higher than the control group (10.32±1.42), (40.12±4.65), and (57.36±6.52) points, the difference was statistically significant (t=8.528, 3.277, 5.582, P <0.05 or 0.01). The cognitive function, social function, physical function and emotional function scores of the treatment group were (8.45±1.10), (8.22±1.14), (7.65±0.72), (8.15±1.21) points, respectively, which were higher than those of the control group (7.12±0.84), (7.32±1.10), (6.54±0.70), (7.45±1.10) points, the difference was statistically significant(t=3.352- 8.663, P <0.05 or 0.01). Conclusions Psychological crisis intervention can help resolve the psychological crisis of patients with cervical cancer surgery, promote the self-efficacy development and improve the quality of life. Key words: Cervical neoplasms; Surgical operation; Quality of life; Psychological crisis intervention; Self-efficacy