心理护理对鼻咽癌患者癌因性疲乏、焦虑及抑郁干预的效果评价  

Evaluation of the Effect of Psychological Nursing Intervention on Cancer Related Fatigue,Anxiety,and Depression in Nasopharyngeal Carcinoma Patients

作　　者：蒋莹 闵姗姗 王长兰[1] 张小兰 JIANG Ying;MIN Shanshan;WANG Changlan;ZHANG Xiaolan(The Second Hospital of Lanzhou University,Lanzhou City,Gansu Province,China 730000)

机构地区：[1]兰州大学第二医院,甘肃兰州730000

出　　处：《卫生职业教育》2024年第23期157-160,共4页HEALTH VOCATIONAL EDUCATION

摘　　要：目的探讨规范化心理护理对鼻咽癌患者的癌因性疲乏(cancer related fatigue,CRF)、焦虑及抑郁状态的干预作用。方法以2019年12月至2021年12月兰州大学第二医院放疗科收治的需进行放射性治疗的148名鼻咽癌患者为研究对象,采取随机数字表法分为试验组和对照组,对照组予以常规护理,试验组在常规护理基础上采用规范化心理护理干预。比较两组患者入院后24 h、出院前24 h、出院后3个月时CRF程度、焦虑及抑郁状态。结果放疗前两组CRF程度、焦虑及抑郁状态量表评分比较无统计学意义(P>0.05),出院前24 h试验组患者的焦虑及抑郁量表评分均低于对照组(P<0.05),出院后3个月时试验组患者的CRF程度、焦虑及抑郁量表评分均低于对照组,差异均有统计学意义(P<0.05)。结论全程的规范化心理护理能有效改善鼻咽癌患者的焦虑及抑郁状态与CRF程度,这为临床中鼻咽癌患者的心理护理提供了新的方向。Objective To explore the intervention effect of standardized psychological nursing on cancer related fatigue(CRF),anxiety,and depression in patients with nasopharyngeal carcinoma.Methods A total of 148 patients with nasopharyngeal carcinoma who required radiation therapy and were admitted to the Radiotherapy Department of the Second Hospital of Lanzhou University from December 2019 to December 2021 were selected as the study subjects.They were randomly divided into an experimental group and a control group with random number table method.The control group received routine nursing care,while the experimental group received standardized psychological nursing intervention on the basis of routine nursing care.Compare the levels of CRF,anxiety,and depression between two groups of patients at 24 hours after admission,24 hours before discharge,and 3 months after discharge.Results There was no statistically significant difference in the degree of CRF,anxiety and depression scores between the two groups before radiotherapy(P>0.05).The anxiety and depression scores of patients in the experimental group were lower than those in the control group 24 hours before discharge(P<0.05).At 3 months after discharge,the degree of CRF,anxiety and depression scores of patients in the experimental group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Standardized psychological nursing throughout the process can effectively improve the anxiety and depression status and CRF degree of nasopharyngeal carcinoma patients,providing a new direction for psychological nursing of nasopharyngeal carcinoma patients in clinical practice.

关 键 词：心理护理 鼻咽癌患者 癌因性疲乏 焦虑 抑郁 

分 类 号：R793.62[医药卫生—临床医学]