人性化护理和合理情绪疗法在乳腺癌术后的护理效果评估

Effect evaluation of humanized nursing and rational emotive therapy in patients with breast cancer postoperative chemotherapy

目的探讨人性化护理和合理情绪疗法在乳腺癌术后化疗患者引起焦虑和抑郁不良情绪的护理效果。方法采用方便抽样的方法,符合入选条件的干预组和对照组各20例乳腺癌术后化疗患者,干预组进行常规护理基础+个性化护理+RET,对照组仅进行常规进行护理;干预前后分别对两组进行汉密顿焦虑量表(HAMA)和汉密顿抑郁量表(HDMA)调查,以及干预后两组的住院期间住院病员对护理工作满意度调查,对结果进行分析。结果实施干预后,干预组的焦虑、抑郁发生率均明显低于对照组(均P<0.01);干预组患者对住院期间临床护理总满意度的比例明显高于对照组(P<0.05)。结论人性化护理+情绪疗法可以同时改善乳腺癌术后化疗患者的焦虑、抑郁,也能提高患者住院期间的护理满意度,该方法进一步研究后可望推广应用。

Objective To evaluate the relieving degree ot anxiety anu uepressJon ot ~,~u ,.u cancer patients with postoperative chemotherapy by humanized nursing and rational emotive therapy. Methods Using convenience sampling method, intervention group（20 cases） and the control group（20 cases） were selected which were all breast cancer patients with postoperative chemotherapy. The intervention group was given routine nursing,personalized care and RET,and the control group were only given routine nursing.Hamilton Anxiety Scale （HAMA） and the Hamilton Depression Scale（HDMA） surveys and nursing job satisfaction were camed out among the patients. Results The results showed that the proportions of anxiety and depression among the intervention group were significantly lower than the control（all P values were 〈 0.01）.The proportion of the total satisfaction among the clinical nursing intervention patients during hospitalization was significantly higher than that in control group（P 〈 0.05）. Conclusion Humanized nursing and rational emotive therapy can relieve the anxiety and depression of breast cancer patients undergoing chemotherapy and also can improve nursing satisfaction during hospitalization which could be popularized and applied needing for further studies.