分级心理护理干预模式对肺癌患者的护理疗效体会

Experience of nursing effect by hierarchical psychological nursing intervention mode for lung cancer patients

目的评价分级心理护理模式干预对胸外科肺癌患者疗效的影响。方法 78例肺癌并选择手术的患者随机分为观察组(43例)与对照组(35例)。根据症状自评量表(SCL-90)结果对观察组患者分级评估,行相应的分级护理干预,对照组采取常规胸外科护理。比较两组患者术前及术后SCL-90量表及焦虑自评量表(SAS)、抑郁自评量表(SDS)分数。结果肺癌术后观察组及对照组SCL-90及SAS、SDS均低于术前,差异有统计学意义(P<0.05)。术后观察组上述指标显著低于对照组,差异有统计学意义(P<0.01)。结论分级心理护理干预模式能够有效减轻患者情绪障碍,值得临床推广。

Objective To evaluate influence of nursing effect by hierarchical psychological nursingintervention mode on curative effect for lung cancer patients. Methods A total of 78 lung cancer patients, who received operation, were randomly divided into observation group （43 cases） and control group （35 cases）. Hierarchical psychological nursing intervention was applied for patients in the observation group with corresponding grade under symptom checklist-90 （SCL-90）. The control group received conventional thoracic surgery nursing. Scores of SCL-90, self-rating anxiety scale （SAS） and self-rating depression scale （SDS） in two groups were compared before and after operation. Results After operation for lung cancer, the observation group and the control group both had lower scores of SCL-90. SAS, and SDA than those before operation. Their difference had statistical significance （P〈0.05）. The observation group also had much lower indexes than the control group after operation, and their difference had statistical significance （P〈0.01）. Conclusion Implement of hierarchical psychological nursing intervention mode can effectively reduce emotional disorder in patients, and it is worthy of clinical promotion.