心理护理对直肠癌结肠造口患者的影响

Effect of Psychological Nursing Care on Patients with Rectal Cancer Undergoing Colonic Fistula

目的探讨心理护理对直肠癌结肠造口患者的心理状态和生活质量的影响。方法将90例直肠癌结肠造口患者随机分为对照组和干预组,各45例。对照组接受常规治疗和护理,观察组在此基础上实施为期3个月的综合性心理护理干预。比较两组患者干预前后的焦虑自评量表(SAS)、抑郁自评量表(SDS)和生活质量各维度评分。结果干预后干预组的SDS和SAS评分明显低于对照组,且其社会、心理维度评分明显高于对照组,差异有统计学意义,(P<0.01),而躯体和功能与症状维度评分两组间差异无统计学意义,(P>0.05)。结论心理护理干预可明显改善直肠癌结肠造口患者的心理健康状况,并提高其生活质量。

Objective To explore the effect of psychological nursing care on mental status and quality of life in patients with rectal cancer undergoing colonic fistula, Methods Ninety cases of rectal cancer undergoing colonic fistula were randomly divided into the control and interventional group, each consisting of 45 cases. The control group received routine therapy and nursing care, while the interventional group received integrated psychological nursing care for 3 months in addition. The scores of SAS, SDS and all dimensions of quality life were compared between both two groups. Results After intervention, the scores of SAS and SDS were markedly lower in the interventional group than in the control group, and the scores of the dimensions of society and psychology were much higher, with significant differences, all P 〈0. 01. No considerable differences were noted in scores of the dimensions of body and function and symptom between both two groups, both P 〉 0. 05. Conclusion Psychological nursing care can considerably improve the mental status and enhance the quality of life in patients with rectal cancer undergoing colonic fistula.