心理护理干预对经动脉化疗栓塞术序贯化疗治疗胃癌伴肝转移效果的影响  

The effect of mental nursing intervention on gastric cancer with liver metastasis patients treated with TACE sequential chemotherapy

作　　者：张若[1] 余慧茜[1] 金益曼[1] 俞耀军[1] 吴朝晖[1] 

机构地区：[1]温州医科大学附属第二医院育英儿童医院胃肠外科,浙江省温州325027

出　　处：《中国基层医药》2016年第11期1615-1619,共5页Chinese Journal of Primary Medicine and Pharmacy

基　　金：浙江省医药卫生科技计划项目（2011KYA112）

摘　　要：目的探讨心理护理干预对经动脉化疗栓塞术（TACE）序贯化疗治疗胃癌伴肝转移患者的效果。方法选取行TACE序贯化疗治疗的胃癌伴肝转移的患者64例，采用随机数字表法及随机数余数分组法将患者分成观察组（32例）和对照组（32例）。对照组行常规护理，观察组在常规护理基础上进行针对性心理护理干预，评价与比较两组患者焦虑、抑郁情况和生活质量。结果经过心理护理干预，观察组SDS评分、SAS评分分别为（41．6±1．8）分、（41．6±2．3）分，对照组为（50．9±1．9）分、（53．0±3．5）分，观察组显著低于对照组（P=0．040、P=0．036）。观察组与对照组生活质量的生理职能、躯体疼痛、健康总体自评、活力、社会功能、情感职能及精神健康评分值分别为（45．26±38．26）分比（35．17±33．65）分（P=0．044）、（71．98±17．36）分比（63．01±18．41）分（P=0．039）、（55．59±12．78）分比（49．67±12．43）分（P=0．048）、（74．82±14．23）分比（55．61±10．58）分（P：0．027）、（75．47±12．15）分比（57．22±14．78）分（P=0．031）、（70．24±22．00）分比（45．92±34．76）分（P=0．004）、（78．31±19．11）分比（67．23±11．96）分（P=0．037），两组差异均有统计学意义（均P〈0．05）。结论对TACE序贯化疗治疗胃癌伴肝转移的患者实施针对性心理护理干预，能减轻患者负性情绪，提高患者对化疗的依从性及治疗的信心，有效提高患者生活质量。Objective To explore the effect of mental nursing intervention on gastric cancer with liver metastasis patients treated with TACE sequential chemotherapy. Methods Sixty four gastric cancer patients with liver metastasis ,no hopes of accepting operations, were included. All patients were divided into control group （32 cases） and observation group （32 cases）. The former received routine nursing care and the later received extra mental nursing intervention. The anxiety, depression and quality of life in both groups were evaluated and compared. Results After extra mental nursing intervention,the SDS and SAS scores of the observation group[ （41.6 ± 1.8） points and （41.6 ± 2.3 ） points ] were significantly lower than those of the control group [ （ 50.9 ± 1.9 ） points and （ 53.0 ± 3.5 ） points, P = 0.040, P = 0.036, respectively ]. The quality of life scores, including the physiological function, body pain, general self rating, vitality, social function, emotional function and mental health score were （ 45.26 ± 38.26 ） points vs （35.17 ± 33.65） points （P = 0.044）, （71.98 ± 17.36 ） points vs （ 63.01 ± 18.41 ） points （ P = 0.039 ）, （55.59 ± 12.78） points vs （49.67 ± 12.43 ） points （ P = 0. 048 ）, （74.82 ± 14.23 ） points vs （ 55.61 ± 10.58 ） points （ P = 0. 027）, （75.47 ± 12.15 ） points vs （ 57.22 ± 14.78 ） points （ P = 0.031 ）, （ 70.24 ± 22.00 ） points vs （45.92 ± 34. 76） points （P =0. 004）, （78.31 ± 19.11 ）points vs （67.23 ± 11.96） points （P =0.037） ,respectively,the scores in the observation group were significantly higher than those in the control group （ all P 〈 0.05 ）. Conclusion The extra mental nursing intervention on gastric cancer with liver metastasis patients, treated with TACE sequential chemotherapy, can not reduce the patients＇negative mood, improve the patients＇compliance with chemotherapy and the confidence to treatment, but improve the quality of patients＇ life effectiv

关 键 词：心理护理干预 经动脉化疗栓塞术 化疗 胃癌伴肝转移 

分 类 号：R473.73[医药卫生—护理学]