心理护理干预对胃癌根治术患者负性心理及生活质量的影响

Effect of psychological nursing intervention on the negative psychological and quality of life in patients with gastric cancer undergoing radical gastrectomy

目的探讨心理护理干预对胃癌根治术患者负性心理及生活质量的影响。方法选择2013年1月～2015年1月于我院行胃癌根治术患者100例作为研究对象，所有患者采用随机数字表法分为干预组及对照组，每组各50例，对照组实施常规对症护理，干预组着重实施心理护理干预，比较两组的护理满意度及两组出院时的焦虑程度、抑郁程度，并采用健康相关生活质量（HRQOL）评分量表对两组患者出院时与入院时的生理状况、功能状况、心理状况、社会功能、精神状况得分进行评价。结果干预组轻度焦虑、中度焦虑、重度焦虑的比率分别显著低于对照组（P〈0．05）。干预组轻度抑郁、中度抑郁的比率显著低于对照组（P〈0．05），但干预组与对照组重度抑郁比率比较，差异不显著（D0．05）。干预组护理满意度达98．00％（49／50），对照组的护理满意度达78．00％（39／50），两组护理满意度比较，差异有统计学意义（R0．05）。干预组出院时的生理状况、功能状况、心理状况、社会功能、精神状况评分分别显著高于对照组（P〈0．05）。结论对胃癌根治术患者实施系统的全面的心理护理干预，有利于减轻患者的焦虑、抑郁等负性心理，提高患者的生存质量，提高患者对护理人员的工作满意度。

Objective To observe the effect of psychological nursing intervention on the negative psychological and quality of life in patients with gastric cancer radical operation. Methods Selected 100 cases underwent radical surgery for gastric cancer patients as the research object from January 2013 to January 2015, all the patients were divided in- to intervention group and control group by random number table method, each group had 50 cases, while the control group was treated with conventional symptomatic nursing, intervention group emphasized psychological nursing inter- vention, nursing satisfaction were compared between the two groups, and the anxiety and depression, and the health related quality of life （HRQOL） score of two groups of patients when they were discharged from the hospital at admis- sion and the physiological condition, functional status, psychological status, social function and mental health scores were evaluated. Results The rate of mild anxiety, moderate anxiety and severe anxiety in the intervention group were significantly lower than those in the control group, the difference was statistically significant （P〈0.05）. The rate of mild depression and moderate depression in the intervention group was significantly lower than that in the control group （P〈0.05）. But between the intervention group and the control group, the difference in severe anxiety was not signifi- cant（P〉0.05）. The nursing satisfaction of the intervention group was 98%（49/50）, the control group was 78%（39/50）, the difference of nursing satisfaction was statistically significant（P〈0.05）. The physiological status, functional sta- tus, psychological status, social function and mental status of the intervention group were significantly higher than those in the control group（P〈0.05）. Conclusion The radical gastrectomy for gastric cancer patients with the imple- mentation of the system of comprehensive psychological nursing intervention, reduce the patient＇s anxiety, depression and other negative psychological, improve the quality of life of patients, improve the patients＂ satisfaction to nursing staff work.