“五字诀”手疗对胃癌术后患者生活态度的影响  

Effect of "Five Words" hand therapy on coping style and negative emotion of patients after surgery for gastric cancer

作　　者：杨彩虹[1] 张琴[1] 丁丁[1] 

机构地区：[1]中国人民解放军第九八医院外科,浙江省湖州市313000

出　　处：《世界华人消化杂志》2017年第13期1200-1204,共5页World Chinese Journal of Digestology

摘　　要：目的探讨普外科"五字诀"手疗对胃癌术后患者生活态度的影响.方法选取2015-01/2016-12在中国人民解放军第九八医院外科就诊的胃癌手术患者87例,按照随机数表法将患者分为观察组(44例)和对照组(43例),对照组采用常规护理方式,观察组患者在对照组的基础上给予"五字诀"手疗,采用医学应对方式问卷对两组患者的应对方式进行测评,采用中文版Herth希望量表测评患者干预前后的希望水平,采用状态-特质焦虑量表对患者干预前后焦虑情绪测评.结果观察组应对评分显著优于对照组(19.39分±4.32分vs 15.84分±4.30分,t=12.933,P=0.000),回避、屈服评分均显著低于对照组,差异有统计学意义(t=4.854,P=0.006;t=11.934,P=0.000).观察组患者希望水平显著高于对照组,差异有统计学意义(t=5.932,P=0.003;t=7.092,P=0.001),观察组患者特质焦虑和状态焦虑评分显著低于对照组(31.20分±3.34分vs 38.30分±3.48分,30.22分±3.52分vs 39.94分±3.47分),差异有统计学意义(t=9.049,P=0.000;t=12.930,P=0.000).结论 "五字诀"手疗能够显著提高胃癌术后患者的希望水平,改善患者积极的应对方式和负性情绪,具有较好的临床使用价值.To evaluate the effect of ＂Five Words＂ hand therapy on the coping style and negative emotion of patients after surgery for gastric cancer.METHODS Eighty-seven patients who underwent surgery for gastric cancer from January 2015 to December 2016 at our hospital were selected and randomly divided into either an observation group （44 cases） or a control group （43 cases）. The control group received routine nursing care, and the observation group was given ＂Five Words＂ hand therapy on the basis of routine nursing care. Patients＇ coping style, level of hope, and anxiety were assessed using the Medical Coping Style Questionnaire, the Chinese Herth Hope Scale, and the State Trait Anxiety Scale, respectively. RESULTS The observation group was significantly better than the control group in the score of coping style （19.39± 4.32 vs 15.84 ± 4.30）, and the avoidance and yield scores were significantly lower in the observation group than in the control group （t = 12.933, P = 0.000; t = 4.854, P = 0.006; t = 11.934, P = 0.000）. The levels of hope in the observation group were significantly higher than those in the control group （t = 5.932, P = 0.003; t = 7.092, P = 0.001）. The scores of trait anxiety and state anxiety in the observation group were significantly lower than those in the control group （31.20 ± 3.34 vs 38.30 ± 3.48, t = 9.049, P = 0.000; 30.22 ± 3.52 vs 39.94 ± 3.47, t = 12.930, P = 0.000）. CONCLUSION The ＂Five Words＂ hand therapy can significantly improve the coping style and negative emotion of patients after surgery for gastric cancer.

关 键 词：五字诀 胃癌 生活态度 

分 类 号：R473.73[医药卫生—护理学]