手术室内乳腺癌患者焦虑的相关因素分析及护理对策

Analysis of anxiety and nursing strategies for patients with breast cancer in operation room

目的探讨手术室内乳腺癌患者焦虑的相关因素与护理对策。方法入选2013年1—12月我院236例乳腺癌手术患者,在患者入院时与手术开始前采用发放焦虑自评量表(SAS)、调查用抑郁自评量表(SDS)的形式对即将手术的患者进行心理状况评估,分析乳腺癌患者术前焦虑状态与造成焦虑的相关因素,并提出相关影响因素的护理对策。结果手术室内,乳腺癌患者SAS、SDS评分均较入院时有了明显的下降,差异有显著性(P<0.05)。Logistic回归分析显示,焦虑情绪与SAS、SDS、文化程度、年龄等因素有关。结论手术室内乳腺癌患者出现明显焦虑、抑郁情绪,并与SAS、SDS、文化程度、年龄等因素有关。而制定相关护理对策,是术前改善患者焦虑心理,促进术后恢复的重要手段。

Objective To explore the related factors and nursing measures of anxiety in patients with breast cancer in the surgical room. Methods 236 patients with breast cancer in our hospital from January 2013 to December,were evaluated by - 2013,SAS,and SDS,and analyzed the related factors of anxiety and anxiety in patients with breast cancer before operation. Results The scores of SDS and SAS in patients with breast cancer were significantly lower than those of the patients with surgery,and the differences were significant（ P〈0. 05）. Logistic regression analysis showed that anxiety was related to SAS,SDS,culture,age and other factors.Conclusions The anxiety and depression of patients with breast cancer were significantly associated with SAS,SDS,culture,age and other factors. And to develop the relevant nursing measures,it is an important way to improve the patients＇ anxiety and promote the recovery of the patients.