参与式培训模式对直肠癌术后心理状况及生存质量影响.docVIP

参与式培训模式对直肠癌术后心理状况及生存质量影响 　　【摘要】 目的：探讨参与式培训模式对直肠癌术后患者心理状况及生存质量的影响。方法：随机选择于本院2015年1月-2016年6月行腹会阴联合直肠癌根治术（Miles）治疗的160例直肠癌患者，随机将其分为对照组和试验组，每组各80例。对照组给予常规护理，试验组在常规护理基础上再实施参与式培训模式护理。采用心理情绪测定量表和生活质量量表（GIQLI）评价比较两组患者心理情绪及生活质量情况。结果：干预后，两组焦虑自评量表（SAS）和抑郁自评量表（SDS）评分均明显下降，且试验组较对照组下降幅度更明显，两组比较差异均有统计学意义（P0.05）；试验组的各项GIQLI值均优于对照组，两组比较差异均有统计学意义（P0.05）。结论：参与式培训模式可以有效能改善直肠癌患者术后焦虑和抑郁状态，能显著提高直肠癌患者的生存质量。 　　【关键词】 直肠； 术后； 参与式培训； 焦虑； 抑郁； 生活质量 　　【Abstract】 Objective：To explore the effect of participatory training mode on the psychological status and quality of life of patients with rectal cancer after operation.Method： 160 patients with rectal cancer who adopted abdominal perineal combined with radical resection of rectal cancer （Miles） treatment in our hospital were selected from January 2015 to June 2016.They were randomly divided into control group and experimental group，80 cases in each group.The control group was given routine nursing，the experimental group based on the routine care was given the implementation of participatory training mode care. The mental state of life and quality of life scale （GIQLI） of two groups were compared.Result：After intervention，the scores of SAS and SDS were significantly decreased in both groups，the experimental group was better than the control group，the difference was statistically significant （P0.05）.The GIQLI values in the experimental group were superior to those in the control group，the differences were statistically significant （P0.05）.Conclusion：Participatory training model can effectively improve the postoperative anxiety and depression of rectal cancer patients.It can significantly improve the quality of life of patients with rectal cancer. 　　【Key words】 Rectum； Postoperative； Participatory training； Anxiety； Depression； Quality of life 　　First-author’s address：Jieyang Lancheng District People’s Hospital，Jieyang 522071，China 　　doi：10.3969/j.issn.1674-4985.2017.07.027 　　直?c癌是由直肠组织细胞发生恶变而形成的常见的消化道恶性肿瘤，直肠癌的发病率逐年增加，现在直肠癌已成为威胁人类心身健康的重要疾病之一[1