基于罗森塔尔效应的心理健康教育对结肠癌患者腹腔镜术后负性情绪及胃肠功能恢复的影响

Effects of psychological health education based on Rosenthal effect on negative emotion and gastrointestinal function recovery in patients undergoing laparoscopic surgery for colon cancer

目的探讨基于罗森塔尔效应的心理健康教育对结肠癌患者腹腔镜术后负性情绪及胃肠功能恢复的影响。方法选取2018年1月至2019年8月间复旦大学附属肿瘤医院收治的行腹腔镜手术治疗的104例结肠癌患者。根据采用的护理方法不同进行分组,其中,采用常规护理的52例患者纳入对照组,采用基于罗森塔尔效应的心理健康教育的52例患者纳入研究组。比较两组患者的负性情绪、胃肠功能恢复指标和护理满意度。结果干预前,两组患者的焦虑自评量表(SAS)和抑郁自评量表(SDS)评分比较,差异无统计学意义(P>0.05);干预3d和出院时,研究组患者的SAS和SDS评分均低于对照组患者,差异均有统计学意义(均P<0.05)。研究组肠鸣音恢复、首次排气和首次排便时间均显著短于对照组,差异均有统计学意义(均P<0.05)。研究组护理总满意度98.1%,高于对照组的82.7%,差异有统计学意义(P<0.05)。结论基于罗森塔尔效应的心理健康教育可改善结肠癌患者腹腔镜术后负性情绪,加快胃肠功能恢复,提高护理满意度。

Objective To explore the effect of mental health education based on Rosenthal effect on the recovery of negative emotion and gastrointestinal function in patients with colon cancer after laparoscopic surgery.Methods A total of 104 patients with colon cancer who underwent laparoscopic surgery at Fudan University Affiliated Cancer Hospital from January 2018 to August 2019 were selected and divided into a study group and a control group according to the nursing care they received with 52 patients in each group.The study group was given the mental health education based on the Rosenthal effect and the control group was given conventional nursing after the operation.Negative emotion,gastrointestinal function recovery indexes,and nursing satisfaction were compared between the two groups.Results Before intervention,there was no significant difference in self-rating anxiety scale(SAS)and a self-rating depression scale(SDS)scores between the two groups(P>0.05).At the 3 d after the intervention and upon discharge,SAS and SDS scores were lower in the study group than in the control group(all P<0.05).Time to bowel sound recovery and time to initial exhaust and defecation were significantly shorter in the study group than in the control group(all P<0.05).The overall nursing satisfaction was 98.1%in the study group which was higher than 82.7%of the control group(P<0.05).Conclusion The mental health education based on the Rosenthal effect can improve the negative emotion after laparoscopy,accelerate the recovery of gastrointestinal function,and improve the satisfaction with nursing in patients with colon cancer.