摘要
目的：对直肠癌造瘘患者负性心理状况调查,了解其手术期间负性心理状况,并探究全程综合性护理干预对直肠癌造瘘患者负性心理的影响。方法：本组观察对象选择2014年8月-2016年8月期间于我院行直肠癌造瘘手术的90例患者以及体检健康人员,通过汉密尔顿抑郁量表（HAMD）以及焦虑自评量表（SAS）调查直肠癌造瘘患者负性心理状况。将90例患者随机均分为两组,观察组进行全程综合性护理干预,对照组采用常规护理干预,比较两组患者护理干预前后HAMD、SAS评分,并评价正常心理恢复、正常护理造口以及排便正常等护理效果。结果：直肠癌造瘘患者HAMD、SAS评分均显著高于体检健康人员,差异有统计学意义（t=33.693,28.455;P〈0.001）;两组患者护理后HAMD、SAS均显著低于护理前,且护理后观察组HAMD、SAS评分均显著低于对照组[（13.43±2.04）分、（44.56±5.05）分],差异有统计学意义（t=-13.152,-7.843;P〈0.001）;观察组正常心理恢复、正常护理造口以及排便正常人数比例分别为93.33%、91.11%、82.22%,显著高于对照组（71.11%、68.89%、64.44%）,差异有统计学意义（χ~2=7.601,6.944,4.486;P〈0.05）。结论：直肠癌造瘘患者具有明显的焦虑、抑郁等负性心理,经全程综合护理干预后能够显著改善负性心理状况,相较于常规护理效果更佳。
Objective：To survey negative mentality of patients with rectal cancer ventriculostomy and understand negative mentality of patients during operation,so as to study effect of whole-course comprehensive nursing intervention on negative mentality of patients with rectal cancer ventriculostomy.Methods：A total of 90 cases of patients who were treated with rectal cancer ventriculostomy in our hospital from August 2014 to August 2016 and 90 cases of healthy people were selected as the object of observation.Negative mentality of patients with rectal cancer ventriculostomy were surveyed via Hamilton Depression Scale（HAMD）and self-rating anxiety scale（SAS）.90 cases of patients were randomly divided into two groups,and those in observation group were provided with whole-course comprehensive nursing intervention,while those in control group were provided with conventional nursing intervention.Patients in two groups were compared for HAMD and SAS scores before and after nursing,and were evaluated for nursing effect of normal mentality recovery,normal nursing stoma and normal defecation.Results：The HAMD and SAS scores of patients with rectal cancer ventriculostomy were significantly higher than those of healthy people（t=33.693,28.455;P〈0.001）.HAMD and SAS of patients in both groups after nursing were distinctly lower than those before nursing,and after nursing,the scores of HAMD and SAS of observation group were,distinctly lower than those in control group（t=-13.152,-7.843;P〈0.001）.The proportion of people with normal mentality recovery,normal nursing stoma and normal defecation in observation group were respectively,which were significantly higher than those of control group（χ^2=7.601,6.944,4.486;P〈0.05）.Conclusion：There are obvious negative moods such as anxiety and depression seen on patients with rectal cancer ventriculostomy,And they can be dramatically optimized via whole-course comprehensive nursing intervention which has better nursing effect than conventional nursing.
作者
刘琪
LIU Qi(Bazhong Hospital of Traditional Chinese Medicine,Bazhong 636000,China)
出处
《中国健康心理学杂志》
2018年第9期1318-1321,共4页
China Journal of Health Psychology
基金
四川省卫生厅科研课题(编号:070307)
关键词
直肠癌造瘘
负性心理状况
全程综合性护理干预
焦虑
抑郁
Rectal cancer ventriculostomy
Negative mentality
Whole--course comprehensive nursing intervention
Anxiety
Depression
