摘要
目的：探讨心理弹性训练的护理干预对腹腔镜胃癌根治术后生活质量和负性情绪的影响。方法：选择本院2014年6月-2016年12月接受腹腔镜胃癌根治术治疗的患者80例。根据患者入院顺序,单号患者采取常规护理（对照组）,双号患者采取常规护理＋心理弹性训练（研究组）。所有患者于入院时和护理结束时采用心理弹性量表（CD—RISC）对患者的心理弹性进行评价;采用Karnofsky（卡氏,KPS）评分标准对患者生活质量进行评估;采用简明心境状态量表（POMS）对患者不良情绪进行评估。结果：护理前,两组患者CD-RISC评分、KPS评分、PMOS疲劳、慌乱、愤怒、抑郁、紧张等评分差异无统计学意义（P〉0.05）,护理后,研究组患者CD—RISC评分明显高于对照组护理后（t=2.218,P〈0.05）;研究组患者KPS评分明显高于对照组（t=2.192,P〈0.05）;且护理后研究组患者PMOS疲劳、慌乱、愤怒、抑郁、紧张等不良情绪评分均低于对照组（t=-2.593,-4.193,-3.413,-6.272,-3.277;P〈0.05）,差异均具有统计学意义。结论 ：对行腹腔镜根治术的患者进行心理弹性训练,能明显增加患者的心理弹性,增加患者的生活质量,改善患者的不良情绪。对于癌症病人的心理疏导有重要意义。
Objective：To investigate the effect of resilience on quality of life and negative emotion in gastric cancer patients with laparoscopic radical mastectomy.Methods：A total of 80 gastric cancer patients with laparoscopic radical mastectomy in our hospital from June 2014 to December 2016 were selected.According to the order of admission,the patients treated with conventional nursing were selected as control group,and the patients treated with both conventional nursing and psychological resilience training were selected as study group.All patients before and after nursing used the Resilience Scale（Connor-Davidson Resilience Scale,CD RISC）to evaluate their’s resilience;Karnofsky standard（Kaczynski,KPS）was used to evaluate the patients’ quality;the POMS scale was used to evaluate the patients’ negative emotions.Results：Before nursing,the patients in two groups had no statistical significant difference in CD-RISC score,KPS score,PMOS panic,anger,fatigue,depression,tension scores（P〉0.05）,after nursing,CD-RISC score in study group was significantly higher than that in control group after nursing（t=2.218,P〈0.05）;KPS score in study group was significantly higher than that of the control group（t=2.192,P 〈0.05）;and the POMS panic,anger,fatigue,depression,tension scores in study group were significantly lower than those of control group（t=-2.593,-4.193,-3.413,-6.272,-3.277;P〈0.05,P〈0.01）.Conclusion：The psychological resilience training can significantly increase the psychological resilience,improve the quality of life,and improve the patient’s bad mood in gastric cancer patients with laparoscopic radical mastectomy.
出处
《中国健康心理学杂志》
2018年第1期38-41,共4页
China Journal of Health Psychology
基金
国家自然科学基金面上项目(编号:H1914)
关键词
心理弹性训练
胃癌
腹腔镜
生活质量
不良情绪
Psychological resilience training
Gastric cancer
Laparoscopy
Quality of life
Negative emotion
