心理护理干预在肺癌围手术期应用研究.docVIP

心理护理干预在肺癌围手术期应用研究 　　[摘要] 目的 探讨心理护理干预对肺癌患者的影响及应用价值。 方法 回顾性分析2012年7月～2014年8月间60例肺癌患者，其中30例接受围手术期心理护理干预（观察组）， 30例接受常规治疗（对照组）。观察两组患者术前焦虑状况、术后疼痛程度，并发症发生率及住院天数。 结果 观察组术前SAS值明显低于对照组[（21.53±3.75） vs （24.32±5.21），P=0.0206]，术后3 d SAS评分同样明显低于对照组[（22.38±4.02） vs （25.44±5.36），P=0.0152]。两组均未出现围手术期死亡病例。并发症方面，观察组的肺不张发生率明显低于对照组（1/30 vs 8/30，P=0.0301），且观察组住院天数明显少于对照组[（14.17±1.98）d vs （16.33±2.14）d，P=0.0004]。观察组患者疼痛程度明显低于对照组（P=0.0439）。结论 围手术期心理护理干预能有效减轻肺癌患者术前的焦虑心理，减少术后并发症，降低术后疼痛并加快患者的康复。 　　[关键词] 肺癌；手术；心理护理干预；并发症 　　[中图分类号] R473.73 [文献标识码] B [文章编号] 1673-9701（2016）11-0132-04 　　[Abstract] Objective To investigate the effect of psychological nursing intervention on perioperative patients with lung cancer. Methods The medical documents of 60 patients with lung cancer from July 2012 to August 2014 were retrospectively analyzed. Patients were randomly divided into observation group（n=30） and control group（n=30）. The patients in the observation group received additional perioperative psychological nursing intervention besides routine therapy and the patients in the control group received routine therapy. Anxiety value，pain degree， complications and hospital stay were analyzed. Results Lower preoperative SAS score[（21.53±3.75） vs （24.32±5.21），P=0.0206]， postoperative SAS score[（22.38±4.02） vs （25.44±5.36），P=0.0152] and lighter pain degree were found in observation group than control group. No perioperative mortality was observed. Less pulmonary atelectasis（1/30 vs 8/30，P=0.0301）， shorter hospital stay[（14.17±1.98）d vs （16.33±2.14）d，P=0.0004] and lower pain degree was found in observation group（P=0.0439）. Conclusion The psychological nursing intervention applied to the perioperative patients with lung cancer can effectively relieve the patients anxiety and speed up the patients rehabilitation. 　　[Key words] Lung cancer； Operation； Psychological nursing intervention； Complication 　　肺癌是目前我国呼吸道常见的恶性肿瘤，手术仍是肺癌重要的治疗方法[1，2]。肺癌手术为开胸手术，手术创伤大，患者对所患疾病恐惧心理重，担心手术是否成功，加之手术后留置各种引流管、引流袋及监护装置，对此患者更容易产生恐惧、