骨肿瘤患者术前焦虑症状表现形式及综合护理干预的作用

Manifestations of anxiety symptoms in patients with bone tumors elective surgery and comprehensive study of the role of nursing intervention

目的观察骨肿瘤患者焦虑症状表现形式,并探讨综合护理干预的临床意义。方法选择2011年3月至2013年9月间行择期骨肿瘤手术患者68例,按照前瞻随机开放法分为对照组和观察组,各34例。对照组患者采用常规护理措施,观察组患者在此基础上实施更为积极的护理干预,调查两组骨肿瘤患者术前焦虑的表现形式及原因,比较护理干预前后两组患者Zung自评焦虑量表(SAS)评分。结果造成患者情绪焦虑的原因依次为担心手术或麻醉风险、对疾病认知不足、忧虑治疗费用、医院相关环境因素,具体表现为紧张烦躁、疲乏感、心慌、头晕、感觉无能为力、食欲差及睡眠障碍等。观察组患者焦虑评分较干预前及同期对照组患者均有更为明显的改善[(43.17±3.81)分、(56.72±5.09)分、(47.28±4.23)分,均P<0.05]。结论对择期骨肿瘤手术患者实施积极综合护理干预,能明显缓解患者术前焦虑情绪,利于治疗。

Objective To observe anxiety manifestations in patients with bone tumors and to inves- tigate the clinical significance of integrated care intervention. Methods 68 patients with bone tumors elec- tive surgery from March 2011 to September 2012 in our hospital were selected and divided into the control group and observation group （34 cases respectively） according to the prospective, randomized, open meth- od. The control group received routine care, and the observation group implemented a more active interven- tion on the basis of the conventional care. Anxiety manifestations and pathogeny were investigated, and Zung self-rating anxiety scale（SAS） scores before and after nursing intervention were compared. Results The main pathogenies of anxiety were： （ 1 ） fear of surgery, anesthesia and prognosis; （2） lack of awareness of the disease; （3） worry about medical costs ; （4） hospital environmental factors. Specific performance ： nervous irritability, fatigue, palpitation, blood, dizzy, feeling powerless, poor appetite and sleep disorders. Anxiety scores of the observation group had a more significant improvement than before the intervention and the con- trol group over the same period [ （43.17 ± 3.81 ） VS（56.72 ± 5.09 ）, （47. 28 ± 4. 23 ）, P 〈 0.05 ]. Con- clusion For elective surgery of patients with bone tumors actively integrated care intervention can relieve anxiety before surgery, helps treatment.