基于信息支持干预对胃癌根治术患者术后心理状态及生存质量影响  

Effects of Information Support Intervention on Postoperative Psychological State and Quality of Life of Patients Undergoing Radical Gastrectomy for Gastric Cancer

作　　者：孙雪琴 刘颖[1] 柯清仙 SUN Xueqin;LIU Ying;KE Qingxian(Fujian Cancer Hospital,Fuzhou 350000,China)

机构地区：[1]福建省肿瘤医院福建医科大学附属肿瘤医院,福建福州350000

出　　处：《中外医学研究》2020年第12期86-88,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探析基于信息支持干预对胃癌根治术患者术后心理状态和生存质量的影响。方法:将2018年1月-2019年1月于笔者所在医院肿瘤外科行根治术的104例胃癌患者纳入研究,采用随机数字表法分成研究组和对照组,各52例。对照组实施常规护理,研究组同时实施基于信息支持干预,应用汉密尔顿焦虑自评量表(HAMA)、汉密尔顿抑郁自评量表(HAMD)及癌症患者生命质量表(QLQ-C30)评测两组干预前及干预3个月后的心理状态和生存质量。结果:干预前两组HAMA评分、HAMD评分比较,差异均无统计学意义(P>0.05);干预3个月后研究组HAMA评分、HAMD评分均显著低于对照组(P<0.05);干预3个月后研究组躯体功能、心理功能及社会功能评分均高于对照组(P<0.05)。结论:在胃癌根治术患者护理中实施信息支持干预有助于改善患者负性心理,提升生存质量,具有重要临床意义。Objective:To explore the effects of information support intervention on postoperative psychological state and quality of life of patients undergoing radical gastrectomy for gastric cancer.Method:A total of 104 cases with gastric cancer who underwent radical gastrectomy in the tumor surgery department of our hospital from January 2018 to January 2019 were included in the observation study,and they were divided into the study group and the control group by random number table,52 cases in each group.The control group received routine nursing,at the same time,the study group received information support intervention.The Hamilton self-anxiety scale(HAMA),Hamilton self-depression scale(HAMD)and quality of life questionnaire(QLQ-C30)were applied to evaluate the psychological state and quality of life of the patients before and 3 months after intervention.Result:Before intervention,the HAMA scores and HAMD scores were compared between the two groups,and the differences were not statistically significant(P>0.05).And 3 months after intervention,the HAMA score and HAMD score of the study group were significantly lower than those of the control group(P<0.05).And 3 months after intervention,the scores of somatic function,psychological function and social function in the study group were higher than those of the control group(P<0.05).Conclusion:The implementation of information support intervention in the nursing of patients with radical gastrectomy is helpful to improve the patients’negative psychology and improve the quality of life,which has important clinical significance.

关 键 词：信息支持干预 胃癌 根治术 心理状态 生存质量 

分 类 号：R473.73[医药卫生—护理学]