人性化护理干预对手术室行腹腔镜胃癌根治术患者的负性心理及生活质量的影响  

Effect of negative psychological and life quality of humanized nuring intervention in patients with laparoscopic radical gastrectomy in the operation room

作　　者：刘静[1] 俞耀军[2] 

机构地区：[1]杭州师范大学附属医院手术室,浙江杭州310012 [2]温州医学院附属第二医院胃肠外科,浙江温州325000

出　　处：《中国现代医生》2015年第22期137-139,143,共4页China Modern Doctor

基　　金：浙江省医药卫生科技计划项目(2011KYA112)

摘　　要：目的探讨人性化护理干预对手术室行腹腔镜胃癌根治术患者的负性心理及生活质量的影响。方法选择我院2012年12月~2014年12月住院行腹腔镜胃癌根治术患者60例作为研究对象,根据随机数字表法随机分为对照组和观察组,每组30例。对照组采取常规护理干预。观察组在对照组基础上行人性化护理。结果两组SAS、SDS评分干预前比较差异无统计学意义（P〉0.05）;干预后两组SAS、SDS评分均显著低于干预前,差异有统计学意义（t=9.234、8.638、7.742、6.752,P〈0.05）;且观察组干预后SAS、SDS评分明显低于对照组,差异有统计学意义（t=6.342、5.238,P〈0.05）。干预前两组患者生活质量躯体功能、角色功能、情绪功能、认知功能、社会功能各项评分比较差异无统计学意义（P〉0.05）;干预后,两组生活质量的躯体功能、角色功能、情绪功能、认知功能、社会功能各项评分均较干预前显著提高,且观察组患者生活质量的躯体功能、角色功能、情绪功能、认知功能、社会功能各项评分达（50.21±5.62）分、（53.28±9.06）分、（52.15±3.65）分、（51.26±5.72）分、（50.35±3.41）分,显著高于对照组,差异具有统计学意义（t=3.632、3.216、4.742、3.725、6.386,P〈0.05）。结论人性化护理能够显著改善手术室腹腔镜胃癌根治术患者的负性心理,从躯体功能、角色功能、情绪功能、认知功能、社会功能各方面提高患者的生活质量,使患者积极配合手术及护理,有利于患者术后的恢复。Objective To discuss Effect of negative psychological and life quality of humanized nuring intervention in patients with laparoscopic radical gastrectomy in the operation room. Methods 60 patients in our hospital from December 2012 to December 2014 were Selected, who underwent laparoscopic radical gastrectomy for gastric cancer as the research objects, and they were randomly divided into control group and observation group, 30 cases in each group. Con- trol group received routine nursing intervention. The observation group received humanistic care on the basis of the control group. Results The SAS, SDS scores of two groups before the intervention were compared, the difference was not statistically significant（P〉0.05）; After intervention, the SAS, SDS scores of two groups were significantly lower than those before intervention, the difference was statistically significant （t=9.234, 8.638, 7.742, 6.752, P〈0.05）, and after the intervention, SDS, SAS scores of observation group were significantly lower than the control group, the difference was statistically significant（t=6.342, 5.238, P〈0.05）. Before the intervention, the quality of life of body function, role function, emotional function, cognitive function, social function scores of two groups were compared, with no significant difference（P〉0.05）; after the intervention, the quality of life of body function, role function, the emotional function, cognitive function, social function the scores of two groups were significantly higher, and quality of life of body function, role function, the emotional function, cognitive function, social function scores of the observation group were （50.21±5.62）, （53.28±9.06）, （52.15±3.65）, （51.26±5.72）, （50.35±3.41） respectively, was significantly higher than that of the control group, the difference was statistically significant（t=3.632, 3.216, 4.742, 3.725, 6.386, P〈0.05）. Condusion The nursing intervention can improve negative psychological of patients with gastric cancer, ca

关 键 词：腹腔镜胃癌根治术 手术室 人性化护理干预 负性心理 生活质量 

分 类 号：R473.73[医药卫生—护理学]