心理护理干预对胃癌患者疼痛睡眠质量及生活质量影响.docVIP

心理护理干预对胃癌患者疼痛睡眠质量及生活质量影响 　　[摘要] 目的 探讨心理护理干预对胃癌患者疼痛、睡眠质量及生活质量的影响。 方法 选取2013年1月～2014年1月在我院住院的胃癌患者84例作为研究对象，随机分为干预组和对照组，每组各42例，对照组予常规护理，干预组着重实施心理护理干预，比较两组患者干预前后SAS评分、SDS评分、VAS评分、两组患者干预前后PSQI各项评分及干预前后总体健康、生理功能、生理职能、躯体疼痛、活力、社会功能、情感职能、精神健康的生活质量各项评分。 结果 干预组和对照组患者干预后SAS评分、SDS评分、VAS评分较干预前显著降低，且干预组患者干预后较对照组降低更显著（P0.05），干预组和对照组患者干预后PSQI各项评分较干预前显著降低，且干预组患者干预后PSQI各项评分较对照组降低更显著，差异有统计学意义（P0.05），两组干预后总体健康、生理功能、生理职能、躯体疼痛、活力、社会功能、情感职能、精神健康评分较干预前显著升高，且干预组患者干预后总体健康、生理功能、生理职能、躯体疼痛、活力、社会功能、情感职能、精神健康评分较对照组升高更显著，差异有统计学意义（P0.05）。 结论 对胃癌患者在积极治疗的同时实施心理护理干预，有利于缓解患者的焦虑、抑郁等负性心理，减轻疼痛，改善患者的睡眠质量，从而进一步提高患者的生活质量。 　　[关键词] 胃癌；心理护理干预；疼痛；睡眠质量；生活质量 　　[中图分类号] R473.73 [文献标识码] B [文章编号] 1673-9701（2015）15-0140-04 　　[Abstract] Objective To explore the effect of psychological nursing intervention on the pain， sleep quality and life quality of patients with gastric cancer. Methods A total of 84 cases of gastric cancer patients from January 2013 to January 2014 were randomly divided into intervention group and control group， 42 cases in each group， the control group was received conventional care， while the intervention group focused on the implementation of psychologicalnursing intervention， SAS， SDS scores， VAS scores and PSQI scores before and after the intervention， and the general health， physiological function， physiological function， body pain， vitality， social function， emotional function， mental health quality of life scores were compared before and after intervention between two groups. Results After intervention， the SAS scores， SDS scores， VAS scores decreased significantly than before intervention and intervention group were lower than control group（P0.05），the PSQI scores were significantly lower than before the intervention and intervention group were lower than the control group （P0.05）， after the intervention，the physical function， physical function， bodily pain， vitality， social functioning， role emotional， mental health scores were significantly higher than before intervention and interventi