医护一体化病情告知对癌症化疗患者焦虑抑郁和生活质量的影响  

Effect of medical and nursing integration notification on anxiety, depression and quality of life in cancer patients undergoing chemotherapy

作　　者：杨金红[1] 高迎香[1] 王凤霞[1] 范虹华[1] 郭莹[1] 刘聿秀[2] Yang Jinhong;Gao Yingxiang;Wang Fengxia;Fan Honghua;Guo Ying;Liu Yuxiu(Oncology Department, Weifang People＇ s Hospital, Weifang 261000, China （ Yang JH, Gao YX, Wang FX, Fan HH, Guo Y;Weifang Medical University, Weifang 261053, China （ Liu YX)

机构地区：[1]潍坊市人民医院肿瘤内科,潍坊261000 [2]潍坊医学院,潍坊261053

出　　处：《中华行为医学与脑科学杂志》2018年第6期533-538,共6页Chinese Journal of Behavioral Medicine and Brain Science

基　　金：潍坊市卫生计生委科研项目计划（2017wsjs068）

摘　　要：目的探讨医护一体化病情告知策略对癌症化疗患者知情率及焦虑、抑郁、生活质量的影响。方法将2017年2～3月首次入住潍坊市人民医院肿瘤内科准备化疗的胃肠癌患者34例作为对照组，实施常规病情告知；将2017年6～7月首次入住该科准备化疗的胃肠癌患者35例作为试验组，实施医护一体化病情告知。比较3周期化疗前后两组患者的知情率、焦虑评分、抑郁评分及生活质量评分。结果三周期化疗后两组患者知情状况（试验组：完全知情57．14％，部分知情34．29％，不知情8．57％；对照组：完全知情29．42％，部分知情35．29％，不知情35．29％）差异有统计学意义（P〈0．01）。三周期化疗后试验组患者焦虑、抑郁评分[（39．43±4．60）分，（41．86±5．23）分]明显低于化疗前[（42．37±4．76）分，（45．69±5．49）分]，差异有统计学意义（P〈0．01）；对照组患者焦虑评分、抑郁评分[（45．74±5．20）分，（49．74±5．42）分]明显高于化疗前[（42．77±5．62）分，（45．56±6．27）分]，差异有统计学意义（P〈0．01）。三周期化疗后试验组焦虑评分、抑郁评分明显低于对照组，差异有统计学意义（P〈0．01）。三周期化疗后，试验组和对照组患者的总体健康状况、躯体功能、角色功能、情绪功能、认知功能、社会功能、疲倦、恶心呕吐及食欲丧失评分差异有统计学意义（P〈0．05）。结论医护一体化病情告知对癌症化疗患者病情知晓率，焦虑，抑郁和生活质量具有积极影响。Objective To explore the effect of medical and nursing integration notification on the truth knowing rate, anxiety, depression and quality of life in cancer patients undergoing chemotherapy. Methods From February to March 2017,34 patients for the first time needing chemotherapy were included as control group, using normal disclosure. From June to July 2017,35 cases for the first time needing chemotherapy were included as the experimental group. The experimental group was informed of the medical and nursing integration notification. The truth knowing rate, anxiety, depression and quality of life were compared before and after three cycles of chemotherapy. Results After three cycles of chemotherapy, the truth knowing rate of patients in the experimental group （completely 57.14% ,partly 34.29% and none 8.57% ） was significantly different with the control group （completely 29.42% ,partly 35.29% and none 35.29% ,P〈0.01 ）. The scores of anxiety and depression in the experimental group（39.43±4.60,41.86±5.23） were significantly lower than those before chemotherapy（42.37±4.76,45.69±5.49,P〈0.01 ）. The scores of anxiety and depression in the control group （ 45.74± 5.20,49.74± 5.42） were significantly higher than those before chemotherapy （42.77±5.62,45.56±6.27 ,P〈0.01 ）. After three cycles of chemotherapy ,the scores of anxiety and depression in the experimental group were lower than the control group （P〈0.01）. After three cycles of chemotherapy, the total health status, body function, role function, emotional function, cognitive function, social function, fatigue, nausea and vomiting, and loss of appetite were statistically significant between the experimental group and control group （P〈 0.05 ）. Conclusion The medical and nursing integration notification has a positive effect on the truth knowing rate, anxiety, depression and quality of life in cancer patients undergoing chemotherapy.

关 键 词：医护一体化病情告知 癌症患者 化疗 焦虑 抑郁 生活质量 

分 类 号：R473.73[医药卫生—护理学]