护理人员对^(125)I治疗肿瘤患者的护理认知现状调查分析

Nursing Cognitive Investigative Analysis of the Nurses Taking Care of the Patients with ^(125)I Treatment

目的了解护理人员对125I治疗肿瘤患者的护理认知现状及焦虑状况。方法应用Zung氏焦虑自评量表(self-rating anxiety scale,SAS)[3]和自行设计的125I治疗肿瘤患者的护理认知情况调查问卷,对我院胸外科及头颈外科60名护理人员进行调查。结果不同护理人员对125I治疗肿瘤患者的护理知识掌握程度不同(P<0.01,P<0.05);护理人员对125I治疗患者认知条目得分最低的前几位分别是:125I治疗患者周围辐射剂量监测的意义,125I治疗患者的距离防护措施,电离辐射防护与放射源安全标准等;护理人员在护理125I治疗肿瘤患者期间,存在明显的焦虑情绪(P<0.01),焦虑与年龄、工龄呈显著负相关(P<0.01),与婚姻、生育呈显著正相关(P<0.01),与文化程度、职称、知识掌握总分不相关(P>0.05)。结论应加强放射防护各环节的管理,定期对护理人员进行专业知识培训;同时根据护士的气质类型,制定相应的心理疏导方案,缓解焦虑情绪,促进护理人员的心理健康。

Objective To investigate the nursi^125Ing cognitive status and anxiety status in nurses taking care of the patients with ^125I treatment,and analyze the factors of anxiety. Methods Self-rating anxiety scale（SAS）and selfdesigned nursing cognition questionnaire were put into use in 60 nurses in the departments of thoracic surgery and head and neck surgery. Results Mastery degree were different in those nurses taking care of the patients with treatment（ （P〈0.01, P〈0.05）. The cognitive items of the lowest score were as follows：the significance of radiation dose monitoring around the patients, protective measures within the distance, protection against ionizing radiation and radioactive source safety standards, etc. Obvious anxiety existed in the nurses during the treatment period of the patients with ^125I （P〈 0. 01 ）. Anxiety had a significant negative correlation with age and seniority （P 〈0. 01 ）. However,anxiety had a positive correlation with marriage and birth（P〈0.01）. The cultural level, professional title, mastery of knowledge were not related to anxiety（P〉0.05）. Conclusion The management of radiological protectionshould be strengthened. Professional knowledge training in nurses must be applied on a regular basis. Corresponding psychological counseling should be made according to the different temperament types of the nurses, in order to alleviate anxiety and promote the mental health.