围术期心理护理干预对恶性肿瘤患者负性情绪的影响  

Influence of perioperative psychological nursing intervention on negative emotion of patients with malignant tumors

作　　者：周晓艳[1] 华艳[1] 问亚芳 

机构地区：[1]江苏省淮安市肿瘤医院护理部,江苏淮安223200

出　　处：《实用临床医药杂志》2016年第20期27-29,33,共4页Journal of Clinical Medicine in Practice

基　　金：中国高校医学期刊临床专项资金(11525448)

摘　　要：目的探讨围术期心理干预护理对恶性肿瘤患者负性情绪的影响。方法选取恶性肿瘤患者86例,随机分为对照组与观察组,各43例。对照组围术期采用常规护理,观察组围术期在对照组基础上进行心理护理干预。采用90项症状自评量表(SCL-90)评价2组护理前后的心理状态;采用焦虑量表(SAS)、抑郁量表(SDS)分别评价2组护理前后的焦虑、抑郁情况;采用SF-36量表评价2组护理后的生活质量。结果护理后,2组SCL-90各项目评分及SAS、SDS评分均显著降低,且观察组显著低于对照组(P<0.05或P<0.01);干预后,2组SF-36量表中各项目评分显著升高(P<0.05或P<0.01),且观察组与对照组有显著差异(P<0.01)。观察组中重度焦虑、抑郁患者比例显著低于对照组(P<0.05)。结论心理干预护理可有效改善恶性肿瘤患者的负性情绪,促进术后康复,提高生活质量。Objective To explore the influence of perioperative psychological nursing intervention on negative emotions of patients with malignant tumors. Methods A total of 86 patients with malignant tumors were selected and were randomly divided into control group and observation group,with 43 cases for each group. Control group was treated with routine nursing,and observation group was added with psychological nursing interventions during perioperation. After nursing intervention,symptom chest list-90（ SCL-90） was used to evaluate patients’ psychological status before and after nursing. Self-rating anxiety scale（ SAS） and self-rating depression scale（ SDS） were applied to evaluate patients’ anxiety and depression before and after nursing,and short form 36（ SF-36） health survey scale was adopted to evaluate patients’ quality of life（ QOL） after nursing in both groups. Results After nursing,all SCL-90 scores as well as SAS and SDS scores decreased evidently in both groups,which were markedly lower in observation group than those in control group（ P 〈 0. 05 or P 〈0. 01）. SF-36 scores all increased notably in both groups,which were prominently higher in observation group than those in control group（ P 〈 0. 05 or P 〈 0. 01）. Meanwhile,observation group was significantly lower in the ratio of patients with moderate and severe anxiety and depression than control group（ P 〈 0. 05）. Conclusion Psychological nursing intervention can effectively improve the negative emotions,promote postoperative rehabilitation and improve the QOL of patients with malignant tumors.

关 键 词：恶性肿瘤 心理护理干预 围术期 焦虑 抑郁 生活质量 

分 类 号：R473.73[医药卫生—护理学]