人性化护理干预对食管癌患者身心健康的影响研究.docVIP

人性化护理干预对食管癌患者身心健康的影响研究 　　[摘要] 目的 探讨人性化护理干预对食管癌患者身心健康的影响。方法 整群选取2011年1月―2014年12月收治于该研究者所在医院胸外科的100食管癌患者，将其随机分为观察组和对照组，每组50例。对照组进行常规护理，观察组在手术前后进行人性化护理，分析对比两组患者的身体舒适程度和焦虑抑郁方面的差异。 结果 观察组与对照组患者在入院的时候，进行的舒适度评分差异无统计学意义（P0.05）；干预之后，观察组患者的舒适程度评分明显优于对照组患者，差异均有统计学意义（t=4.38，P0.05），干预后，观察组评分低于对照组，差异均有统计学意义（P0.05）。结论 在治疗食管癌患者的过程中，通过及时采取正确医疗措施，实施及时、准确和细心的护理，可有效改善患者心理状态，提高患者生活质量。 　　[关键词] 食管癌；人性化护理；手术；化疗；身心健康 　　[中图分类号] R472.1 [文献标识码] A [文章编号] 1674-0742（2015）11（b）-0162-03 　　[Abstract] Objective To explore the effect of humanized nursing intervention on the physical and mental health of patients with esophageal cancer. Methods 100 esophageal cancer patients admitted in Department of Thoracic Surgery of our hospital from January 2011 to December 2014 were randomly selected and divided into observation group and control group， 50 cases in each group. The control group was given the conventional nursing， and the observation group was given the humanistic nursing before and after the surgery. And the physical comfort and degree of anxiety and depression of the two groups were analyzed and compared. Results There was no statistically significant difference in the comfort score between the two groups on the admission（P0.05）. After intervention， the comfort score of the observation group was much better than that of the control group with statistically significant difference （t=4.38， P0.05）， but after intervention， the SAS and SDS scores were much lower in the observation group than those in the control group， the differences were statistically significant（P0.05）. Conclusion For the esophageal cancer patients， timely correct medical measures and timely， accurate and careful nursing， can effectively improve the psychological state and the life quality of the patients. 　　[Key words] Esophageal cancer； Humanistic nursing； Surgery； Chemotherapy； Physical and mental health 　　食管癌是我国常见的恶性肿瘤，食管癌是胸外科常见病，由于食管是食物进入人体的必经之路，接受食物的不良刺激，其为肿瘤好发部位，多见于中老年患者[1]。食管癌中90%以上是食管鳞癌[2]，大多数是中晚期患者，手术是可切除食管肿瘤的主