心理护理干预对胃癌根治术患者负性心理及生活质量影响.docVIP

心理护理干预对胃癌根治术患者负性心理及生活质量影响 　　[摘要] 目的 探讨心理护理干预对胃癌根治术患者负性心理及生活质量的影响。 方法 选择2013年1月～2015年1月于我院行胃癌根治术患者100例作为研究对象，所有患者采用随机数字表法分为干预组及对照组，每组各50例，对照组实施常规对症护理，干预组着重实施心理护理干预，比较两组的护理满意度及两组出院时的焦虑程度、抑郁程度，并采用健康相关生活质量（HRQOL）评分量表对两组患者出院时与入院时的生理状况、功能状况、心理状况、社会功能、精神状况得分进行评价。 结果 干预组轻度焦虑、中度焦虑、重度焦虑的比率分别显著低于对照组（P0.05）。干预组护理满意度达98.00%（49/50），对照组的护理满意度达78.00%（39/50），两组护理满意度比较，差异有统计学意义（P0.05）。干预组出院时的生理状况、功能状况、心理状况、社会功能、精神状况评分分别显著高于对照组（P0.05）。 结论 对胃癌根治术患者实施系统的全面的心理护理干预，有利于减轻患者的焦虑、抑郁等负性心理，提高患者的生存质量，提高患者对护理人员的工作满意度。 　　[关键词] 胃癌根治术；心理护理；焦虑、抑郁；生存质量 　　[中图分类号] R473.73 [文献标识码] B [文章编号] 1673-9701（2015）30-0149-04 　　Effect of psychological nursing intervention on the negative psychological and quality of life in patients with gastric cancer undergoing radical gastrectomy 　　REN Jingli1 YU Yaojun2 　　1.Tumor Comprehensive Treatment Department， Hangzhou City Cancer Hospital， Hangzhou 310022，China； 2.Gastrointestinal Surgery Department，the Second Affiliated Hospital of Wenzhou Medical College， Wenzhou 325000，China 　　[Abstract] Objective To observe the effect of psychological nursing intervention on the negative psychological and quality of life in patients with gastric cancer radical operation. Methods Selected 100 cases underwent radical surgery for gastric cancer patients as the research object from January 2013 to January 2015， all the patients were divided into intervention group and control group by random number table method， each group had 50 cases， while the control group was treated with conventional symptomatic nursing， intervention group emphasized psychological nursing intervention， nursing satisfaction were compared between the two groups， and the anxiety and depression， and the health related quality of life（HRQOL） score of two groups of patients when they were discharged from the hospital at admission and the physiological condition， functional status， psychological status， social function and mental health scores were evaluated. Results The rate of mild anxiety， moderate anxiety and s