参与型护理模式对喉癌术后情感障碍患者负性情绪及生存质量影响.docVIP

参与型护理模式对喉癌术后情感障碍患者负性情绪及生存质量影响 　　【摘要】 目的：探讨参与型护理模式对喉癌术后情感障碍患者负性情绪和生存质量的影响。方法：采取便利抽样法选取69例符合纳入标准的喉癌术后情绪障碍患者，将其分为研究组36例和对照组33例，两组均接受相应的常规护理，研究组在此基础上实施参与型护理干预，对比分析两组患者干预后焦虑、抑郁及生存质量的情况。结果：干预后，研究组负性情绪得分明显低于干预前，差异有统计学意义（P0.05）；研究组焦虑、抑郁得分分别为（10.86±5.43）分、（12.51±5.26）分，对照组分别为（15.58±6.78）分、（19.50±6.52）分，两组比较差异均有统计学意义（t=3.17、4.87，P0.05）。干预后，研究组在疼痛、外貌、娱乐消遣、工作、吞咽、语言交流的得分分别为（88.56±11.24）分、（86.57±18.31）分、（87.81±10.32）分、（83.94±12.45）分、（81.76±8.97）分、（81.32±13.65）分，而对照组相应得分分别为（81.31±14.75）分、（77.24±19.75）分、（80.34±14.28）分、（75.81±15.84）分、（74.41±14.86）分、（73.84±14.81）分，两组上述指标比较差异均有统计学意义（t=2.28、2.03、2.47、2.36、1.86、2.18，P0.05）。结论：参与型护理模式能有效地减轻喉癌术后情感障碍患者焦虑、抑郁程度，明显提高喉癌术后情感障碍患者生存质量。 　　【关键词】 喉癌； 焦虑； 抑郁； 生存质量； 参与型护理模式 　　【Abstract】 Objective： To investigate the effect of a new nursing mode in which patients participate actively on the negative emotion and life quality of discharged patients with laryngeal cancer.Method： 69 cases included in the standard of laryngeal cancer postoperative patients with mood disorders were selected by convenience sampling method， the patients were divided into research group （n=36）and control group （n=33）， The research group received both routine nursing and participated actively in nursing.The control group only received routine nursing. The differences of negative emotion and life quality were compared between the two groups. Result： The levels of negative emotion in the research group were lower than that of the control group （P0.05）.The scores of anxiety and depression were （15.58±6.78） and （19.50±6.52）， while that of the control group were （15.58±6.78） and （19.50±6.52）， the differences were statistical significance between the two groups （t=3.17，4.87，P3.17）. The scores of the research group in pain， appearance， entertainment， work， swallowing， communication were （88.56±11.24）， （86.57±18.31）， （87.81±10.32）， （83.94±12.45）， （81.76±8.97）， （81.32±13.65）， while that of the control group were （81.31±14.75）， （77.24±19.75）， （80.34±14.28）， （75.81±15.84）， （74.41±14.86