分级心理护理对结直肠癌手术患者负性情绪和希望水平的影响  

Effect of hierarchical psychological nursing on negative emotions and hope in colorectal cancer patients undergoing surgery

作　　者：唐红梅[1] 李文美[2] 孟文霄 

机构地区：[1]潍坊医学院附属医院医疗保险处,山东省潍坊市261031 [2]潍坊医学院附属医院肛肠外科,山东省潍坊市261031

出　　处：《世界华人消化杂志》2015年第6期1022-1027,共6页World Chinese Journal of Digestology

摘　　要：目的:探讨分级心理护理对结直肠癌手术患者负性情绪和希望水平的影响.方法:选取2012-06/2014-06于潍坊医学院附属医院行手术治疗的结直肠癌患者80例,归为观察组,并选取2010-06/2012-06期间于潍坊医学院附属医院行手术治疗的结直肠癌患者80例,归为对照组.对照组给予常规护理,观察组在此基础上给予分级心理护理.比较两组患者入院时与出院时的焦虑自评量表(self-rating anxiety scale,SAS)、抑郁自评量表(self-rating depression scale,SDS)、Herth希望量表(Herth hope index,HHI)、护理工作满意度量表的评分,并比较两组的住院时间以及住院总费用.结果:出院时,观察组的SAS、SDS评分均显著低于对照组,差异具有统计学意义(P<0.001),HHI各维度评分及总分、护理工作满意度量表评分均显著高于对照组,差异具有统计学意义(P<0.05).观察组的住院时间与总费用明显低于对照组,差异具有统计学意义(P<0.001).结论:分级心理护理可明显降低结直肠癌手术患者的负性情绪,提高希望水平,最终达到促进患者康复、提高护理质量的目的,值得临床推广.AIM： To explore the effect of hierarchical psychological nursing on negative emotions and hope in colorectal cancer patients undergoing surgery.METHODS： Eighty colorectal cancer patients undergoing surgery from June 2012 to June 2014 were selected as an observation group, and 80 colorectal cancer patients undergoing operation from June 2010 and May 2012 comprised a control group. Patients in the control group were given conventional nursing, while the observation group was given hierarchical psychological nursing on the basis of conventional nursing. The scores of self-rating anxiety scale （SAS）, self-rating depression scale （SDS）, the Herth hope index （HHI）, and nursing job satisfaction scale were compared between the two groups at admission and discharge. The length of hospital stay and total medical costs were also compared. RESULTS： At the time of discharge, the scores of SAS and SDS in the observation group were significantly lower than those in the control group （P 〈 0.001）. The total score and scores of every dimension of HHI and the score of nursing job satisfaction scale in the observation group were significantly higher than those in the control group （P 〈 0.05）. The length of hospital stay and total medical costs in the observation group were significantly lower than those in the control group （P 〈 0.001）. CONCLUSION： Hierarchical psychological nursing could significantly reduce the negative emotions and improve hope levels in colorectal cancer patients undergoing surgery, thereby promoting rehabilitation and improving the quality of nursing.

关 键 词：分级心理护理 结直肠癌 负性情绪 希望水平 

分 类 号：R473.73[医药卫生—护理学]