颈段食管癌患者围术期常见心理问题及护理干预.pdfVIP

实用临床医药杂志 2013 年第 17 卷第 10 期 Joumal of Clinical Medicine in Practice EE望噩噩 颈段食管癌患者围术期常见心理问题及护理干预 王微，宋丽萍，刁宏宁 (中国医科大学附属盛京医院于术室，辽宁沈阳， 110004) 摘 要:目的 总结颈段食管癌患者围术期常见心理问题，提供有效护理干预。方法 收集分析胸外科 17 例颈段食管癌 患者围术期情绪反应、心理问题，总结常见问题及原因，提出针对性的护理干预方法和措施。结果 本组患者及家属能坦然而 对术后发生失语、吞咽障碍及呼吸通道改变的现实，并建立配合治疗、重返社会的信心。结论 有效护理干预能增强患者配合 治疗的信心和勇气，使患者顺利重返社会。 关键词:颈段食管癌;围术期;心理问题:护理干预 中图分类号: R473.73 文献标志码:A 文章编号: 1672-2353(2013)10-001-02 囚犯 10.7619尔mp.201310001 Perioperative mental problems in patients with cervical esophageal cancer and nursing intervention WANG Wei , SONG Liping , DIAO Hongyu ( The 。如ating R.∞m ， Shengjing I如p山lof αina Medical University , S加l}tmg ， Liaoning , 110004) ABSTRACf: Objective To summarize the perioperative mental problems in patients with cer- vical esophageal cancer and to provide the effective nursing intervention. 岛1eth创s Postoperative e- motional reactions and mental problems of 17 patients with cervical esophageal cancer in department of thoracic surgery were collected and analyzed. Common problems and reasons were summarized , and targeted nursing intervention methods and measures were proposed. Results Patients and their family members were able to frankly face the problems such as postoperative aphasia , dysphagia and change of respiratory tract , and they were fulfilled with confidence against diseases. Conclusion Effective nursing intervention can enhance the confidence and courage of the patients and enable them to retum to society successfully. KEY WORDS: cervical esophagus cancer; perioperative period; mental problems; nursing in- terventlon 颈段食管癌发病率占食管癌的 5. 9% ~ 10. 后的生存质量。作为护理人员，不但要为患者提 0%[l