消化道恶性肿瘤患者疼痛、焦虑及失眠中医护理干预效果研究分析.docVIP

以情志护理为主的综合护理干预在消化道恶性肿瘤患者中的应用效果观察 【摘要】目的：探讨以情志护理为主的综合护理干预对改善消化道恶性肿瘤患者疼痛、焦虑及失眠的改善效果。方法：将96例消化道恶性肿瘤患者随机分为两组（n=48），对照组采用西医常规护理模式，观察组增加情志护理等中医护理干预措施。比较两组的失眠、焦虑、疼痛症状改善效果。结果：观察组干预2周后和出院前的VAS、SAS评分均较干预前显著降低，并且都明显低于对照组，P0.05。干预后，观察组的PSQI各项评分及总评分均较干预前显著降低，并且观察组干预后的入睡时间、睡眠质量和PSQI总评分均显著低于对照组，P0.05。结论：对消化道恶性肿瘤患者实施以情志护理为主的综合护理干预能有效减轻患者的疼痛程度，缓解患者的心理压力，改善其心理状态及睡眠质量，提高患者的生存质量。 【关键词】情志护理；失眠；焦虑；疼痛；消化道恶性肿瘤 Observe the application effect of Comprehensive Nursing Intervention dominated emotional care in gastrointestinal cancer patients Huang Xia liaoning university of traditional Chinese medicine hospital 2nd affiliated hospitals [Abstract] Objective: To investigate the effect of Comprehensive Nursing Intervention dominated emotional care to improve the pain, anxiety and insomnia symptom in gastrointestinal cancer patients. Methods: 96 cases of gastrointestinal cancer patients were randomly divided into two groups (n = 48), the control group used conventional Western model of care, observation group increased TCM nursing intervention. Compared the insomnia, anxiety and pain symptom improve effect between two groups. Results: After the intervention two weeks and before discharge, the VAS and SAS scores of observation group were significantly lower intervention, and were significantly lower than the control group, P 0.05. After the intervention, the PSQI scores and total score of observation group were significantly lower than before the intervention, and the sleep time, sleep quality and PSQI total scores of Observation group were significantly lower than the control group, P 0.05. Conclusion: Gastrointestinal cancer patients use Comprehensive Nursing Intervention dominated emotional care can reduce the degree of pain effectively, ease the psychological pressure, make their mental state and sleep quality better, and improve the quality of life. [Key words] emotional care; insomnia; anxiety; pain; gastrointestinal cancer 癌性疼痛是晚期癌症患者最主要的症状，也是影响晚期癌症患者生存质量的主要因素。癌痛的发生不仅会给患者造成生理上的痛苦，同时也会增加患者的心