复发性脑胶质瘤患者围手术期焦虑的影响因素及护理干预  

Analysis of influencing factors and nursing intervention measures in perioperative for recurrent glioma patients

作　　者：何冰娟[1] 

机构地区：[1]北京军区总医院附属八一脑科医院一病区,北京100700

出　　处：《中国肿瘤临床与康复》2015年第4期480-482,共3页Chinese Journal of Clinical Oncology and Rehabilitation

摘　　要：目的探讨复发性脑胶质瘤患者手术前后焦虑情绪的产生因素及护理干预对策。方法选取68例复发性脑胶质瘤患者,通过标准抑郁自评量表(SDS)与焦虑自评量表(SAS)评价患者自身焦虑和抑郁情况,根据结果设计对应影响因素调查表,分析相关因素对患者情绪的影响程度。按护理措施不同分为对照组(常规护理)和观察组(常规护理+特定护理干预),分别对患者进行康复和健康干预,分析护理措施的效果。结果全组患者有重度焦虑情绪的比例(7.3%)低于轻度(61.8%)和中度(30.9%),差异有统计学意义(P<0.05)。全组患者有重度抑郁情绪的比例(8.8%)低于轻度(64.7%)和中度(26.5%),差异有统计学意义(P<0.05)。对情绪主要的影响因素为对治疗预后的判断与家庭责任的判断。观察组患者在接受特定护理干预后,其好转率、并发症发病率、复发率和死亡率均优于对照组,差异有统计学意义(P<0.05)。观察组患者护理干预后的焦虑、抑郁情绪的阴性率(88.2%)高于对照组(55.9%),差异有统计学意义(P<0.05)。结论复发性脑胶质瘤患者手术前后焦虑抑郁等影响因素有一定差别。针对其不同心理给予对应的特定护理干预措施,有助于缓解患者心理障碍程度,促进患者恢复,可以临床推广。Objective To analyze influencing factors and nursing intervention measures in perioperative for recurrent glioma patients. Methods Totally 68 patients with recurrent glioma were selected.The condition of patients on anxiety and depression was evaluated by self-rating depression scale（ SDS） and self-rating anxiety scale（ SAS）,and influencing factors affected anxiety and depression. Patients were divided into control group（ usual nursing） and observation group（ usual nursing ＋ specific nursing intervention）,then the clinical effect of two groups was observed. Results The rate of patients with severe anxiety（ 7. 3%） was lower than moderate anxiety（ 30. 9%） and mild anxiety（ 61. 8%）,with significantly difference（ P〈0. 05）. The rate of patients with severe depression（ 8. 8%） was lower than moderate depression（ 26. 5%） and mild depression（ 64. 7%）,with significantly difference（ P〈0. 05）. The main impact factors of patients were impact of disease on the evaluation of prognosis and family responsibilities. The effective rate,incidence of complications,recurrence rate,death rate of observation group were better than that in control group,with significantly difference（ P〈0. 05）. The negative rate after specific nursing intervention of observation group（ 88. 2%） was also higher than that in control group（ 55. 9%）,with significantly difference（ P〈0. 05）. Conclusions There is more anxiety and depression emotion before and after operation in patients with recurrent cerebral glioma,and influencing factors of different patients have certain difference. Specific nursing intervention could ease the psychological disorders of patients,promote the patient＇s recovery,can be popularized in clinical.

关 键 词：脑胶质瘤 焦虑 护理 

分 类 号：R473.73[医药卫生—护理学]