心理干预对肿瘤患者围术期焦虑及抑郁的影响  

Effect of Psychological Intervention on Perioperative Anxiety of Patients with Operations

作　　者：王鑫[1] 高艳红[1] 王丹[1] 汪艳华[1] 古丽君[1] 

机构地区：[1]解放军总医院南楼呼吸监护室,北京100853

出　　处：《现代生物医学进展》2015年第6期1120-1122,共3页Progress in Modern Biomedicine

基　　金：国家自然科学基金青年科学基金项目(30901795)

摘　　要：目的:探讨心理干预对围术期肿瘤患者焦虑及抑郁的影响。方法:选取2013年6月到2014年6月在我院接受手术治疗的肿瘤患者300例,随机分为研究组和对照组,对照组150例患者给予常规基础护理,研究组患者在常规护理的基础上给予心理干预。观察并比较两组患者干预前后的心率和血压变化情况。采用抑郁自评量表(Self-rating depression scale,SDS)和焦虑自评量表(Self-Rating Anxiety Scale,SAS)对患者的心理状况进行评价。结果:干预前,两组患者的心率、血压、SDS及SAS评分无显著差异(P>0.05);干预后,研究组患者的心率、血压、SDS及SAS评分显著优于对照组,差异具有统计学意义(P<0.05)。结论:心理干预能显著减轻肿瘤患者围术期焦虑及抑郁状况,有利于维持患者血压和心率稳定。Objective： To study the effect of psychological intervention on anxiety and depression of patients who were undergoing operations. Methods： 300 patients with types of tumors in our hospital from July 2013 to 2014 were selected and randomly divided into the study group and the control group with 150 cases in each group. The patients in the control group were treated by the conventional nursing methods, while the patients in the study group were treated by the psychological intervention besides the conventional methods. Then the heart rate, blood pressure, SDS and SAS of patients in the two groups were observed and compared before and after the interventions. Results： Before the intervention, there was no significant difference about the blood pressure, heart rate, SDS and SAS scores of patients in the two groups（P〉0.05）; The blood pressure, heart rate, SDS and SAS scores of patients in the study group were significantly better than those of the patients in the control group（P〈0.05）. Conclusion： Psychological intervention can significantly reduce the anxious and the changes of blood pressure and heart rate.

关 键 词：心理干预 肿瘤 焦虑 抑郁 

分 类 号：R47[医药卫生—护理学] R73[医药卫生—临床医学]