共情护理对直肠癌永久性肠造口患者知觉压力、病耻感及癌因性疲乏的影响  

The effect of empathy nursing on perceived stress,stigma and cancer-related fatigue in rectal cancer patients with permanent colostomy

作　　者：卢威男 张春燕[1] 李雪梅 蔺小霞 蒋文秀[5] 熊芸 张成凤 LU Wei-nana;ZHANG Chun-yana;LI Xue-meia;LIN Xiao-xia;JIANG Wen-xiu;XIONG Yun;ZHANG Cheng-feng(Department of Gastroenterology,The First Affiliated Hospital,Chengdu Medical College,Chengdu 610500,China;Department of Integrated Chinese and Western Medicine,Sichuan Bayi Rehabilitation Center,Chengdu 611135,China;Anorectal Department,Chongqing Jiulongpo People s Hospital,Chongqing 400050,China;Department of Integrated Chinese and Western Medicine,The First Affiliated Hospital,Chengdu Medical College,Chengdu 610500,China;Department of Pediatrics,The First Affiliated Hospital,Chengdu Medical College,Chengdu 610500,China)

机构地区：[1]成都医学院第一附属医院消化内科,四川成都610500 [2]四川省八一康复中心中西医结合科,四川成都611135 [3]重庆市九龙坡区人民医院肛肠科,重庆400050 [4]成都医学院第一附属医院中西医结合科,四川成都610500 [5]成都医学院第一附属医院儿科,四川成都610500

出　　处：《实用医院临床杂志》2021年第1期78-81,共4页Practical Journal of Clinical Medicine

摘　　要：目的研究共情护理(EN)对直肠癌永久性肠造口(PC)患者知觉压力、病耻感及癌因性疲乏的影响。方法纳入2015年1月至2018年12月成都医学院第一附属医院收治的PC患者108例,依照随机数字表法分为EN组与对照组各54例。对照组给予常规护理,EN组在常规护理基础上给予EN。观察护理前后两组患者焦虑、抑郁、知觉压力、病耻感、癌因性疲乏等情况。血清超氧化物歧化酶(SOD)、血管紧张素-2(AT-II)、去甲肾上腺素(NE)等应激因子水平。结果护理后,EN组SAS、SDS、CPSS、病耻感及CFS评分均低于对照组(P<0.05);SOD水平高于对照组,AT-II、NE水平低于对照组(P<0.05)。SF-36各项评分也均高于对照组(P<0.05)。结论EN可有效缓解PC患者负性情绪,解除机体应激,减轻其知觉压力、癌因性疲乏,消除病耻感,改善患者健康状况。Objective To investigate the effect of empathy nursing(EN)on perceived stress,stigma and cancer-related fatigue in patients with rectal cancer with permanent colostomy(PC).Methods One hundred and eight patients with PC admitted to our hospital from January 2015 to December 2018 were included in this study and divided into EN group and control group using random number table method,54 in each group.Routine care was given to patients in the control group,and routine care+EN was given to the EN group.Patients'anxiety,depression,perceived stress,stigma and cancer-related fatigue,and serum stress factors including superoxide dismutase(SOD),angiotensin-2(AT-II),norepinephrine(NE)were observed before and after nursing.Results After nursing,anxiety,depression,perceived stress,stigma and cancer-related fatigue and CFS score in the EN group were lower than those in the control group(P<0.05).SOD in the EN group was higher than that in the control group.AT-II and NE in the EN group were lower than those in the control group(P<0.05).Conclusion EN can effectively relieve the PC patients negative emotions,relieve the body's stress,reduce their perceived stress,cancer-related fatigue,eliminate stigma,and improve the patients'health status.

关 键 词：共情护理 直肠癌 永久性肠造口 知觉压力 病耻感 癌因性疲乏 

分 类 号：R735.3+7[医药卫生—肿瘤]