食管癌抑郁患者社会因素分析及综合护理干预研究.docVIP

食管癌抑郁患者社会因素分析及综合护理干预研究 　　[摘要] 目的 探讨食管癌患者发生抑郁的社会因素以及采取综合护理的临床价值。 方法 选取本院2013年3月～2014年3月入院并经病理诊断的120例食管癌患者作为研究对象，根据是否合并抑郁将其分为抑郁组（n=69）和对照组（n=51），同时根据是否给予护理干预将69例抑郁组患者分为干预组（35例）和未干预组（34例），干预组采用综合护理干预措施，分析食管癌患者发生抑郁的因素，比较综合护理干预的效果。 结果 抑郁与年龄、性别、收入、家庭关系、教育、疾病程度和化疗次数有关。抑郁组的疼痛、厌食症、失眠、便秘、疲劳、口干、DSI、HAMD评分显著高于对照组，差异有统计学意义（P0.05）。干预组的护理效果显著优于未干预组，差异有统计学意义（P0.05）。 结论 食管癌患者的焦虑和抑郁由多种原因引起，综合护理干预措施可以有效降低焦虑和抑郁的发生。 　　[关键词] 综合护理干预；食管癌；社会因素；生存质量 　　[中图分类号] R473.73 [文献标识码] A [文章编号] 1674-4721（2016）05（b）-0155-04 　　[Abstract] Objective To explore the social factors of depression and the clinical value of comprehensive nursing intervention on depression in patients with esophageal cancer. Methods 120 patients with esophageal cancer in our hospital from March 2013 to March 2014 were selected and divided into the depression group （n=69） and the control group （n=51） according to whether or not combined with depression.At the same time，69 cases of depressive patients were divided into the intervention group （35 cases） and the non-intervention group （34 cases） according to whether or not given nursing intervention，comprehensive nursing intervention measures was adopted in the intervention group.The factor of depression in patients with esophageal cancer was analyzed，the effect of comprehensive nursing intervention was compared. Results Depression was related to age，sex，income，family relationship，education，disease degree and the number of chemotherapy.The score of pain，anorexia，insomnia，constipation，fatigue，dry mouth，DSI and HAMD in the depression group was higher than that in the control group，with significant difference （P0.05）.The nursing effect in the intervention group was better than that in the non-intervention group，with significant difference （P0.05）. Conclusion The anxiety and depression in esophageal cancer is caused by many reasons，the comprehensive nursing intervention measures can effectively reduce the occurrence of anxiety and depression. 　　[Key words] Comprehensive nursing int