改良病情告知方案对肿瘤化疗患者焦虑抑郁情绪的影响  

Effect of improved disease notification program on anxiety and depression in patients with cancer chemotherapy

作　　者：李蕾[1] 曹旸[1] 覃晓燕[1] LI Lei;CAO Yang;QIN Xiao-yan(Department of Oncology,Zhengzhou Third People's Hospital,Zhengzhou,Henan 450000,China)

机构地区：[1]郑州市第三人民医院肿瘤内科

出　　处：《青岛医药卫生》2020年第1期61-64,共4页Qingdao Medical Journal

摘　　要：目的探讨改良病情告知方案对肿瘤化疗患者焦虑抑郁情绪的影响。方法选择本院2017年8月至2018年7月收治的110例肿瘤化疗患者作为研究对象,按入院先后分为对照组和观察组各55例。对照组给予常规护理,护理人员不参与病情告知,并对患者实施保护性医疗;观察组采用改良后的病情告知方案,护理人员参与病情告知与护理干预。比较分析两组患者化疗前后的病情知晓程度及焦虑抑郁情况。结果化疗后观察组患者病情知晓人数相比对照组明显增加(P<0.05)。化疗后观察组SAS、SDS评分相比化疗前明显降低(P<0.05),对照组SAS、SDS评分相比化疗前明显增高(P<0.05),组间比较,化疗后观察组SAS、SDS评分均明显低于对照组(P<0.05)。结论改良病情告知方案在提高肿瘤化疗患者病情知晓率的基础上,通过有效的心理干预可有效降低患者发生焦虑抑郁的风险。Objective To investigate the effect of improved disease notification program on anxiety and depression in patients with cancer chemotherapy.Methods A total of 110 patients with tumor chemotherapy admitted to our hospital from August 2017 to July 2018 were enrolled in the study,and were divided into control group and observation group according to admission sequence,with 55 cases in each group.The control group was given routine care,the nursing staff did not participate in the disease notification,and the patients were given protective medical care.The observation group was given improved disease notification program,and the nursing staff participated in the condition notification and nursing intervention.The degree of disease awareness and anxiety and depression in the two groups before and after chemotherapy were compared.Results After chemotherapy,the number of patients with disease awareness in the observation group was significantly higher than that in the control group(P<0.05).After chemotherapy,the SAS and SDS scores of the observation group were significantly lower than those before chemotherapy(P<0.05).The SAS and SDS scores of the control group were significantly higher than those before chemotherapy(P <0.05).Compared with the control group,the SAS and SDS scores of the observation group were significantly lower than those of the control group(P <0.05).Conclusion Based on the improvement of the informed rate of cancer patients,the effective psychological intervention can effectively reduce the risk of anxiety and depression.

关 键 词：病情告知 肿瘤 化疗 焦虑 抑郁 

分 类 号：R473.73[医药卫生—护理学]