摘要
目的观察选择性心理干预对行原位回肠代膀胱术患者情绪的影响。方法将67例行膀胱全切加原位回肠代膀胱术患者按入院时间分为对照组(34例)和观察组(33例),两组患者均予常规护理,观察组在此基础上进行选择性心理干预,包括认知行为教育、体育锻炼、音乐治疗和情绪管理等。结果两组干预后SAS、SDS评分比较,差异有统计学意义(均P<0.01)。结论选择性心理干预注重心理干预个性化的特点,可降低原位回肠代膀胱术患者的焦虑抑郁情绪。
Objective To explore the impact of selective psychological interventions on emotion of patients with orthotopic ileal neobladder.Methods Sixty-seven patients with bladder cancer receiving radical cystectomy and orthotopic ileal neobladder were divided into a control group（n=34） and an observation group（n=33） according to chronological order.All patients received routine nursing care,additionally patients in the observation group received selective psychological interventions,including such measures as cognitive-behavioral education,physical exercise,music therapy,and emotion management,ect.Results The scores of SAS and SDS showed significant differences between the two groups after intervention（P〈0.01 for both）.Conclusion Selective psychological intervention strengthens individuation of psychological intervention,and it can alleviate anxiety and depression of patients with bladder cancer receiving radical cystectomy and orthotopic ileal neobladder.
关键词
膀胱癌
膀胱全切
回肠代膀胱
选择性心理干预
焦虑
抑郁
bladder cancer
radical cystectomy
orthotopic ileal neobladder
selective psychological intervention
anxiety
depression
