阴茎癌患者围手术期心理障碍临床观察与对策  

The clinical observation and strategy to psychological barrier in patients with carcinoma of penis

作　　者：李林芬[1] 肖可[1] 陈曼佳[1] 

机构地区：[1]汕头大学医学院第二附属医院泌尿外科,广东汕头515041

出　　处：《国际护理学杂志》2011年第7期1054-1056,共3页international journal of nursing

摘　　要：目的 探讨阴茎癌患者围手术期心理状态与护理对策.方法 采用焦虑自评量表（SAS）、抑郁自评量表（SDS）作为工具,对105例拟行阴茎癌根治术患者进行心理调查,并将调查结果与常模对照分析研究.对存在抑郁、焦虑患者进行自行设计问卷调查,了解他们围手术期最主要的心理问题,据此制定实施针对性护理计划和方案,并于出院时使用SAS、SDS作为工具对他们进行心理调查,与术前对比.结果 67%以上阴茎癌患者术前存在抑郁情绪,同时焦虑情绪的SAS量表总分均值超过40分,明显高于中国常模总分均值的上限.合并焦虑、抑郁阴茎癌患者心理护理前后SAS及SDS评分比较,P〈0.01,差异显著.81%患者存在最主要心理障碍为性心理障碍,实施针对性护理干预后,仍具有心理障碍的患者下降至20%,P〈0.01,差异显著.结论 阴茎癌患者围手术期存在明显的心理障碍,按患者的心理需求实施针对性的护理对策能有效消除或改变患者心理障碍,提高生活质量.Objective To explore the mental state and nursing countermeasures of perioperative patients with carcinoma of penis.Methods The self-rating anxiety scale（SAS） and self-rating depressive scale（SDS） were used to investigate the mental state of 105 patients selected radical operation carcinoma of penis. Questionnaire survey was used in the patients with anxiety or depression, to find out their most psychological problems in perioperative period of surgery, in order to design and carry out focused nursing programs and strategies.Results Over 67% patients with carcinoma of penis appeared depression before surgery, and average value of SAS total score of anxiety passed 40, the value was significantly higher than that of upper limit of China norm. The SAS and SDS scores were statistical differences between before and after carrying out mental nursing to the patients with anxiety or depression, P〈0.01. There were 81% of patients with most psychological problem was psychosexual disorder, and the rate fell to 20% P〈0.01, the difference was significant.Conclusions The patients with carcinoma of penis in perioperative period of surgery had obvious psychological problem, carrying out focused nursing strategies on demand can effectively eliminate or change psychological problem, improve the quality of life.

关 键 词：阴茎癌根治术 心理障碍 对策 

分 类 号：R473.73[医药卫生—护理学]