团体心理干预对胃癌患者焦虑情绪、疼痛和应激反应的影响.docVIP

团体心理干预对胃癌患者焦虑情绪、疼痛和应激反应的影响 曹春艳 付文君 尚妍 北京大学肿瘤医院 X 关注成功！ 加关注后您将方便地在 我的关注中得到本文献的被引频次变化的通知！ 新浪微博 腾讯微博 人人网 开心网 豆瓣网 网易微博 摘????要： 目的:探讨团体心理干预对胃癌患者围手术期焦虑情绪、疼痛和应激反应的影响。方法:分析2014年2月-2016年10月在我院行手术治疗的胃癌共236例, 按照是否采用团体心理干预分为干预组和对照组, 对照组采用常规护理, 干预组115例, 对照组121例, 对比两组患者入院时和术后1天、3天、2周患者的疼痛VAS评分和应激反应指标NO、ET、IL-6和CRP, 对比患者入院时和术后2周的焦虑自评量表 (SAS) 评分。结果:两组患者术前的焦虑SAS评分对比差异无统计学意义, 术后2周干预组患者的平均SAS评分显著低于对照组 (t=9.144, P0.01) , 两组术前的疼痛评分对比差异无统计学意义, 术后1天、3天和2周干预组患者的VAS评分均显著低于对照组 (t=3.627, 5.902, 8.991;P0.01) , 两组术前的ET、NO、CRP和IL-6水平对比差异无统计学意义, 术后1天、3天干预组患者的ET水平显著低于对照组 (t=5.314, P0.01;t=4.584, P0.01) , 术后2周两组之间的ET水平对比差异无统计学意义。术后1天、3天和2周干预组患者的NO、CRP和IL-6水平显著低于对照组 (t=4.942, 4.083, 8.288, 4.084, 4.016, 8.695, 2.688, 4.027, 4.117;P0.01) .。结论:团体心理干预可显著缓解胃癌患者的围手术期焦虑, 减轻患者术后疼痛和机体应激反应。 关键词： 团体心理干预; 胃癌; 焦虑; 应激反应; 疼痛; 作者简介：曹春艳 E-mail:caochunyansd@163.com 收稿日期：2017-10-25 Effect of Group Psychological Intervention on Anxiety, Pain and Stress Reaction of Patients with Gastric Cancer CAO Chunyan FU Wenjun SHANG Yan Cancer Hospital of Peking University; Abstract： Objective:To study the effect of group psychological intervention on anxiety, pain and stress reaction of patients with gastric cancer.Methods:From February 2014 to October 2016, a total of 236 cases with gastric cancer who underwent surgical treatment were selected in our hospital.According whether using group psychological intervention or not, which were divided into the intervention group and the control group, the control group using the conventional care.The intervention group was 115 cases and the control group was 121 cases.Comparing the two groups of patients before and postoperative 1 day, 3 days, 2 weeks in pain VAS score, SAS score and stress reaction index including NO, ET, IL-6 and CRP.Results:The two groups of patients with preoperative anxiety SAS scores had no statistically significant difference, the average SAS scores of intervention group patients was significantly lower than the control group postoperative in 2 week