心理护理在直肠癌结肠造口患者中的应用效果  

Study on the Effect of Psychological Nursing in Patients with Rectal Cancer Undergoing Colostomy

作　　者：杨美恋 凌碧娟 YANG Meilian;LING Bijuan(Department of Nursing,Zhangzhou Hospital Affiliated to Fujian Medical University,Zhangzhou 363000,China)

机构地区：[1]福建医科大学附属漳州市医院护理部,漳州363000

出　　处：《中国医药指南》2024年第34期123-125,共3页Guide of China Medicine

摘　　要：目的研究在直肠癌结肠造口患者护理中心理护理应用的效果。方法将在漳州市医院2019年3月至2020年3月收治且诊断为直肠癌结肠造口的患者总计70例,以随机数字表法分成两组,各35例。对照组开展常规护理,观察组实施常规护理时纳入心理护理。比较两组患者在护理前、后不良情绪评分、自我护理能力、造口日常维护能力、对日常生活的积极应对态度及生活质量评分,统计患者不良反应发生情况和患者对于护理的满意度。结果在护理后两组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均较护理前都有所下降且观察组更低,而自我护理能力、造口日常维护能力、对日常生活的积极应对态度及生活质量评分较护理前提升且观察组更高(P<0.05);观察组患者的不良反应发生率低于对照组,(P<0.05);观察组护理患者满意度高于对照组(P<0.05)。结论对直肠癌结肠造口患者进行心理护理,可减轻患者的不良情绪,提升自我护理能力、造口日常维护能力、对日常生活的积极应对态度及生活质量,减少不良反应的发生,并提高患者满意度。Objective To study the effect of psychological nursing in the nursing of patients with rectal cancer undergoing colostomy.Methods A total of 70 patients diagnosed with colorectal cancer colostomy admitted to Zhangzhou Hospital from March 2019 to March 2020 were divided into two groups with 35 cases each by random number table method.The control group carried out routine nursing,and the observation group was included in psychological nursing when implementing routine nursing.The adverse mood scores,self-care ability,ostomy daily maintenance ability,positive coping attitude towards daily life and life quality scores of the two groups of patients were compared before and after nursing,and the occurrence of adverse reactions and patients’satisfaction with nursing were analyzed.Results After nursing,the scores of self-rating anxiety Scale(SAS)and self-rating Depression Scale(SDS)in both groups were decreased and lower than before nursing,while the scores of selfcare ability,ostomy daily maintenance ability,positive coping attitude towards daily life and quality of life in the two groups were improved and higher than those in the observation group(P<0.05).The incidence of adverse reactions in observation group was lower than that in control group(P<0.05).The satisfaction of nursing patients in observation group was higher than that in control group(P<0.05).Conclusions Psychological care for patients with rectal cancer colostomy can alleviate patients’negative emotions,improve their self-care ability,stomy daily maintenance ability,positive attitude towards daily life and quality of life,reduce the occurrence of adverse reactions,and improve patient satisfaction.

关 键 词：心理护理 直肠癌 结肠造口 不良情绪 自我护理能力 

分 类 号：R735.37[医药卫生—肿瘤] R473.73[医药卫生—临床医学]