护理干预对肝癌患者术前焦虑影响.doc

护理干预对肝癌患者术前焦虑影响【摘要】目的 探讨护理干预对肝癌患者术前焦虑的影响 方法 将肝癌60例拟行手术的患者随机分为对照组和干预组各30例。常规护理措施应用于对照组，干预组在此基础上接受有针对性的护理干预措施。对2组患者的术前焦虑值、睡眠时间及对护理工作满意度等指标进行测定。 结果 通过有针对性的护理干预，干预组患者的术前焦虑情况较对照组有显著改善，增强了手术信心，睡眠时间延长，其护理工作的满意度显著高于对照组。结论 有针对性的护理干预措施可显著降低肝癌患者的术前焦虑状况，提高患者对护理的满意度。 【关键词】护理干预 肝癌 焦虑 中图分类号：R473文献标识码：A文章编号：1005-0515（2010）12-036-02 Influence of nursing intervention on preoperative anxiety of patients with liver cancer You Zhiying，Lu Zhihua，Pu Huaifang (Wuxi No.2 People’s Hospital Affiliated to Nanjing Medical University；Wuxi 214000，China) 【Abstract】Objective To probe into the influence of nursing intervention on preoperative anxiety of patients with liver cancer．Methods A total of 60 patients diagnoised liver cacer as candidates for operation were randomly divided into control and intervention group, 30 cases each．Patients of both groups received conventional nursing．On this basis, the nichetargeting nursing intervention was carried out for intervention group cases．Then the preoperative anxiety value, sleep duration and satisfaction of nursing between both groups were compared．Results Through targeted nursing intervention, the preoperative anxiety of patients in intervention group was improved significantly than that of control group,the confidence of surgery was strengthened, sleep duration was extended, and satisfaction of nursing was much higher than that of control group．Conclusion The targeted nursing intervention can significantly reduce preoperative anxiety of patients with liver cancer, and improve satisfaction of nursing． 【Key words】nursing intervention；liver cancer；anxiety 原发性肝癌是我国常见恶性肿瘤之一，位于肿瘤死亡原因的第2位[1]。到目前为止，手术切除是公认的疗效最好的治疗手段[2]。而手术对患者来说不仅使身体陷于危机状态，精神上也承受很大的刺激而极度紧张发生焦虑、恐惧、敌对、不合作等应激反应，会直接影响手术、麻醉的顺利进行及术后身体的恢复。为此我们对肝癌患者进行有针对性的护理干预，探讨护理干预对手术患者术前焦虑抑郁等负性情绪的改善作用，现报道如下。 1 资料和方法 1.1 一般资料 2006年3月至2010年5月在我院住院的6O例肝癌病人为研究对象，肝癌诊断明确，且不伴有精神障碍，年龄在40-72岁，平均年龄（56.9±9.61）岁。将60例病人随机分为干预组和对照组各3O例，2组患者均为首次接受手术者，两组患者在年龄、文化程度、病情及经济收入等方面比较差异无统计学意义(P0.05)。 1.2 方