脑胶质瘤患者围术期心理干预临床研究

Clinical effects of perioperative psychological nursing interventions on psychological reaction in patients with brain glioma

目的探讨心理干预对脑胶质瘤围术期患者心理状况的影响。方法脑胶质瘤92例随机分为对照组和心理组各46例,对照组采用常规护理,而心理组在常规护理基础上增加综合心理干预,并收集患者的GCS、MMSE、焦虑自评量表(SDS)、抑郁自评量表(SAS)、生活质量量表SF-36等资料,比较两组患者认知能力、情绪变化、生活质量的区别。结果心理组GCS、MMSE、和SF-36得分明显高于对照组,差异有统计学意义(P<0.05),心理组HAMD得分、HAMA得分明显低于对照组,差异有统计学意义(HAMD:8.2±3.9 vs 11.8±4.7;HAMA:5.8±2.6 vs 12.1±5.5,P<0.05)。结论心理干预能够有效地减轻患者的心理焦虑、紧张、恐惧等负面情绪,稳定患者情绪,使患者能更好地配合治疗,从而提高手术成功率,值得临床推广。

Objective To investigate the cl,inical effects of psychological nursing intervention on patients with brain glioma. Methods Ninety-two patients with brain glioma treated in this hospital were randomly divided into two group,each group contained 46 patients. The psychological group was given preoperative effective psychological care intervention on the routine basis nursing. The con- trol group was only given routine basis nursing. The data such as GCS, MMSE, SDS, SAS, SF-36 were collected. The patients＇ cognitive capacity,mood changes,and quality of life were compared. Results GCS and MMSE scores in the psychological group was better than those in the control group,the difference was statistically significant, （P 〈0.05）. HAMD, HAMA,and SF-36 scores were significantly improved after nursing in psychological group, the difference was statistically significant （ HAMD ：8.2 ± 3.9 vs 11.8 ± 4.7 ; HAMA ： 5.8 ±2.6 vs 12.1 ±5.5 ,P 〈 0.05）. Conclusion psychological care can effectively reduce the patients＇ negative emotions such as psy- chological anxiety, tension, fear and others, and can improve the patients＇ cooperation with the treatment and the effect of the surgery and stabilize. The patients＇ mood,promoe restoration to heahh;it is worthy in clinical practice.