希望理论干预对晚期肝癌患者焦虑和抑郁心理的影响

Influence of Hope Theory intervention on anxiely and depression of sufferers with advanced hepatic cell carainoma(HCC)

目的探讨希望理论干预对晚期肝癌患者焦虑和抑郁心理的影响。方法以2013-01—2014-09自贡市第四人民医院肝胆外科住院的180例晚期肝癌患者为研究对象,随机分为观察组(n=90)和对照组(n=90),对照组采用常规护理,观察组实施常规护理加希望理论干预护理,比较两组患者焦虑自评量表(SAS)、抑郁自评量表(SDS)、焦虑和抑郁发生率。结果观察组和对照组干预前SAS和SDS评分差异无统计学意义(P>0.05),干预后SAS和SDS差异有统计学意义(P<0.05)。观察组干预后SAS和SDS评分显著低于干预前(P<0.05),对照组干预后SAS评分和SDS与干预前比较,差异无统计学意义(P>0.05)。干预前观察组和对照组焦虑和抑郁发生率差异均无统计学意义(P>0.05);干预后观察组焦虑和抑郁发生率显著低于对照组(P<0.05)。结论希望理论干预护理可有效缓解晚期肝癌患者焦虑和抑郁心理。

Objective To study the influence of Hope Theory intervention on anxiety and depression of sufferers with advanced hepatic cell carcinoma. Methods 180 sufferers with advanced hepatic cell carcinoma hospitalized in Department of Hepatobiliary Surgery, Zigong No.4 People＇s Hospital from January 2013 to September 2014 were taken as the study objects, and randomly divided into observation group and control group with 90 cases in each group.The control group were given routine nursing, while the observation group were given routine nursing and Hope Theory intervention.Self-rating Anxiety Scale（SAS）, Self-rating Depression Scale（SDS）, and the occurrence rate of anxiety and depression in the two groups were compared. Results The SAS and SDS scores had no difference of statistical significance between the observation group and the control group before intervention（ P〉0.05）, while after intervention, the SAS and SDS scores had difference of statistical significance（ P〈0.05）.After intervention the SAS and SDS scores in the observation group were clearly lower than those before intervention（ P〈0.05）, while the SAS and SDS scores in the control group between before intervention and after intervention had no difference of statistical significance（ P〉0.05）.Before intervention, the occurrence rate of anxiety and depression in both groups had no difference of statistical significance（P〉0.05）, while after intervention, the occurrence rate of anxiety and depression in the observation group was clearly lower than that in the control group（ P〈0.05）.Conclusion Hope Theory intervention nursing can effectively relieve the anxiety and depression of sufferers with advanced hepatic cell carcinoma.