综合护理干预对喉癌患者抑郁情绪与应对方式的影响

Effect of comprehensive nursing intervention on laryngeal cancer patients ＇ depres-sion and coping modes

目的：探讨综合护理干预对喉癌患者抑郁情绪与应对方式的影响。方法将106例喉癌患者遵照知情同意原则，采用随机对照分为实验组56例和对照组50例，采用抑郁自评量表（ SDS）和对医学应对方式问卷（ MCMQ）对患者的抑郁情绪和应对方式进行调查，并对实验组进行综合护理干预。结果实施综合护理干预后实验组抑郁评分显著下降，明显低于对照组，差异具有统计学意义（ P〈0.05）；实验组在应对方式中面对、回避两项与对照组相比较，差异有统计学意义（P〈0.05），而屈服得分差异无统计学意义（P〉0.05）。结论实施综合护理干预改变了喉癌患者对疾病的认知，很好地改善了喉癌患者的抑郁情绪，同时综合护理干预让患者学会了积极、正确的应对模式，有效地改善了患者的应对方式，从而增强患者战胜疾病的信心，促进了疾病的康复。

Objective To investigate the effect of comprehensive nursing intervention on the depression and coping modes of laryngeal cancer patients. Methods A total of 106 laryngeal cancer patients in compliance with the principle of informed consent were randomly divided into experimental group （56 cases） and control group （50 cases） . The patients＇ depression and their coping modes were investigated by adopting Self-rating Depression Scale （ SDS） and Medical Coping Modes Questionnaire （ MCMQ） , and comprehensive nursing intervention were given to the experimental group. Results After the implementation of comprehensive nursing intervention, the depression score of experimental group apparently was decreased, and the difference was statistically significant （P〈0. 05） . Comparing the scores of cop-ing modes, the differences of facing and avoiding were statistically significant （P〈0. 05）, but the score of yielding had no statistical difference （P〉0. 05） . Conclusions Comprehensive nursing intervention can change the patients＇ cogni-tion of the disease and improve their condition of depression. Meanwhile it teaches them the positive and correct coping modes so as to enhance their confidence in fighting with the disease and to promote the rehabilitation of the disease.