治疗性沟通系统模式下构建有效应对方式缓解胃癌患者术前伴发轻中度焦虑情绪研究-study on constructing effective coping style to relieve preoperative mild to moderate anxiety of gastric cancer patients under therapeutic communication system mode.docx

correlation(P0.01).Itwasnegativecorrelationwithactivecopingandwaspositivecorrelationwithpassivecoping,thecorrelationcoefficientwere-0.51and0.31.Besides,theincidencerateofpreoperativeanxietyinmalepatientswas25.73%,infemalepatientsreached54.10%.TheWilcoxonrank-sumtestshowsthatitwasrelevantwithgenderdifferences(p0.01),exceptingtheage,standardofculture,economicposition,vocationa,familyaddress,themodeofpaymentofmedicalexpensesandprimarycaregivers(p0.05);Secondstage:theexperimentalstudyshowsthattherewerenosignificantdifferencesinthestomachcancerpatients’generalinformation,anxietyandcopingstylesoftheinterventiongroupandcontrolgroupbeforetheintervention(P0.05),andthereweresignificantdifferencesaftertheintervention(P0.01);thereweresignificantdifferencesinthescoreofanxietyandcopingstylesintheinterventiongroupbeforeandaftertheintervention(P0.01);therewerenosignificantdifferencesinthescoreofanxietyandcopingstylesinthecontrolgroupbeforeandaftertheintervention(P0.05).ConclusionsThepreoperativeanxietyincidenceofinformedstomachcancerpatientswashighandclinicalnursingworkersshouldgiveattention.Preoperativeanxietywascloselyrelatedtocopingstylesofinformedstomachcancerpatients.Thisresearchsuggested:inthemodeloftherapeuticcommunicationsystem,assessingandstructuringpatients’effectivecopingstyleswasfeasibleandcouldeffectivelyrelievepreoperativeanxietyofinformedstomachcancerpatients.KeywordsAnxiety/TherapeuticCommunicationSystem/CopingStyle/StomachCancer治疗性沟通系统模式下构建有效应对方式缓解胃癌患者术前伴发轻中度焦虑情绪研究前言Freud(1894)认为,焦虑产生于过分的、使自我无法控制的刺激，他将焦虑定义为一种紧张或者害怕的经历,来自自我。Goldstein[1]认为,焦虑是有机体的存在受到威胁时所产生的一种心理紊乱的情绪状态。如紧张、不安、忧虑、担心、紊乱等主观经验。朴松花等[2]参考各类概念后，认为焦虑是一种内心紧张不安,预感到将要发生某种不利情况,而难以应付的不愉快情绪。术前焦虑是指患者在术前发生的一种内心紧张不安,预感到将要发生某种不利情况,而难以应付的不愉快情绪，主要表现为行为或者自主神经系统产生的各种反应[3]。国外有关术前焦虑问题研究较早，1969年WilsonWE医生[4]就关注到外科手术患者存在术前焦虑的问题，在对头颈部肿瘤焦虑调查结果显示，患者焦虑发生率高达82%，术前高水平焦虑达到14%，术后则达到16%，采取不良的应对策略无助于焦虑情绪的改善[5]。据Sarah等人调查认为焦虑在癌症患者中的发病率约为10.0%-26.0%,并认为焦虑的发生比抑郁要高[6]。最近的研究表明，对于肿瘤患者来说焦虑是一种普遍现象，新近确诊的肿瘤患者其发生率高达50%，而且将持续存在，如不及时处理，将会与疾病本身形成恶性循