以“心理护理实践指南”为指导对肿瘤患者实施心理干预

Implement of psychological intervention for tumor patients with clinical practice guidelines for the psychological care

目的探讨以"心理护理实践指南"为指导对肿瘤患者实施心理干预的效果。方法将213例肿瘤化疗患者按随机数字表分为观察组(102例)和对照组(111例)。对照组按常规进行治疗及护理,护理措施包括入院介绍、饮食护理、健康教育等;观察组在常规治疗及护理基础上,以"心理护理实践指南"为指导对肿瘤患者实施心理干预,即与患者建立良好的护患关系,为患者提供相关资讯信息,重视患者的情感和社会支持,积极、合理地处理患者的强烈负性情绪。分别于入院当天及干预后第21天采用抑郁自评量表(SDS)和焦虑自评量表(SAS)进行焦虑、抑郁评分。结果干预后观察组SAS、SDS评分显著低于对照组(均P<0.01)。结论以"心理护理实践指南"为指导对肿瘤患者实施心理干预,让患者得到合适的、规范化的心理护理干预,有助于减轻肿瘤患者的焦虑、抑郁情绪。

Objective To explore the effect of psychological intervention for tumor patients with clinical practice guidelines for the psychological care.Methods Totally, 213 tumor patients receiving chemotherapy were randomly divided into an observation group（n=102） and a control group（n=111）.The control group received routine nursing care.Nurses of the observation group additionally implemented psychological intervention for patiesnts with clinical practice guidelines for the psychological care： they established good relationship with the patients, provided all sorts of information, paid attention to giving patients emotional and social support, and positively and rationally dealt with patients′ strong negative emotion. Anxiety and depression level of the two groups was measured by using Self-rating Depression Scale （SDS） and Self-rating Anxiety Scale （SAS） on admission day and the 21st day of intervention.Results After the intervention, the scores of SAS and SDS in the observation group were significantly lower than those in the control group （P〈0.01 for both）. Conclusion Implement of psychological intervention for tumor patients with clinical practice guidelines for the psychological care helps tumor patients to reduce the level of anxiety and depression.