经伽玛刀治疗的颅内肿瘤患者围术期心理状况及护理干预

Analysis of psychological status and nursing intervention for patients suffered from intracranial tumor and accepted Gamma knife radio-surgery

目的探讨颅内肿瘤患者伽玛刀（γ-刀）治疗围术期的心理状况特点及护理干预措施。方法将126例患者随机分为心理干预组和对照组各63例，两组均采用抑郁自评量表（SDS）和焦虑自评量表（SAS）进行评价。结果经过护理干预，干预组患者术后SAS评分为（34．64±7．97）分，SDS评分为（32．16±7．98）分，对照组术后SAS评分为（48．73±9．56）分，SDS评分为（40．24±4．26）分，组间比较差异具有统计学意义（t=5．25，3．76；P〈0．01）。结论对颅内肿瘤γ-刀治疗患者围术期进行系统心理护理干预，增强了患者治疗的信心和勇气，保证了γ-刀治疗的顺利完成。

Objective To discuss the feature of the patients＇ psychological status and the way to intervene through 126 patients＇ peri-operative period psychological status suffered from intracranial tumor and accepted Gamma knife radio-surgery. Methods The patients were randomly divided into two groups： experiment group and control group. Two groups were both evaluated by self-rating depressive scale （SDS） and self-rating anxiety scale （SAS）. Results SAS score of experimental group was （ 36.64 ± 7.97）, and SDS score was （32.16 ±7.98） after surgery, the scores in control group were （48.73 ±9.56） and （40.24 ±4.26）, respectively. The difference between the two groups was statistically significant （ t = 5. 25,3.76 ; P 〈 0. 05 ）. Conclusions Systematic psychological nursing intervention during peri-operative period can increase patients＇ confidence and courage; make Gamma knife radio-surgery can go on successfully.