胃癌患者术后生存质量与心理健康调查及干预效果探讨

Investigation of Postoperative Life Quality and Mental Health of Patients with Gastric Cancer and the Effects of Interventions

目的:调查胃癌患者术后的生活质量及心理健康状况,探讨护理干预对胃癌患者术后恢复的积极意义,为胃癌的围术期护理提供参考。方法:选取2009年7月-2012年1月在我院接受手术治疗的胃癌患者70例,手术治疗方式根据患者的具体情况采用肿瘤剔除术、近端胃切除、远端胃切除及胃大切除术等。按照术后所采取的护理方式,将所选病例分为干预组和对照组。观察并比较两组患者治疗前后的焦虑、抑郁发生率及生活质量的评分变化。结果:对照组焦虑发生率为76.6%,抑郁发生率为83.3%;干预组焦虑发生率为55%,抑郁发生率为50%。干预组患者焦虑及抑郁的发生率显著低于对照组患者(P<0.05)。两组患者治疗后的生理机能、躯体疼痛、社会功能、情感功能及认知功能评分均比治疗前有所改善,干预组患者改善更明显,差异具有统计学意义(P<0.05)。结论:护理干预不仅可以缓解胃癌患者术后出现的负面情绪,而且有利于改善患者术后的生存质量,值得在临床进一步推广。

Objective： To investigate the life quality and mental health of patients with gastric cancer after the operation, and to discuss the effects of different interventions in order to make a reference. Methods： 70 patients with gastric cancer who were accepted the surgery in our hospital from July 2009 to January 2012, with the treatment of tumor movement, the proximal gastric resection, the distal stomach or the total resection according to their actual circumstances, were selected and divided into the intervention group and the control group. Then the incidences of the anxiety and the depression of patients in the two groups were scored and the postoperative life quality was evaluated. Results： The incidence of anxiety and depression was 55% and 50% in the intervention group which was lower than 76.6% and 83.3% in the control group, respectively （P〈0.05）. After the intervention, the scores of the physiology, the pain, the emotion, the sociality and the cognition of patients in the two groups were improved than before, especially for the patients in the intervention group （P〈0.05）. Conclusions： It is indicated that the nursing intervention should be promoted to release the anxiety and depression of patients and improve the postoperative life quality.