人性化护理干预对腹腔镜胃癌根治术后行中药小肠内滴注患者负性心理及生活质量的影响

Influence of humanistic nursing intervention on negative mental status and quality of life in patients receiving traditional Chinese medicine intra-small intestine drip after laparoscopic radical gastrectomy

目的探讨人性化护理干预对腹腔镜胃癌根治术后行中药小肠内滴注患者的负性心理及生活质量影响的研究。方法选择我院2014年10月~2015年10月腹腔镜胃癌根治术后行中药小肠内滴注患者80例作为研究对象,根据随机数字表法将其分成对照组和实验组,各40例。对照组采取传统的护理方式,即入院后将其送至病房,然后向其介绍主治医师、病房环境以及各项制度;对患者生命体征进行监测,做好相应记录;手术后定时定点进行巡视,并对其进行疼痛护理以及并发症等常规手术后的护理。实验组则在对照组基础上进行人性化护理。结果两组患者在干预前均显示中度疲劳,差异无统计学意义（t=0.52,P〉0.05）,而干预后差异均有统计学意义（t=7.11、8.45,P〈0.05）,实验组患者的疲劳程度明显得到缓解;两组SAS、HAMD评分在护理干预前比较差异无统计学意义（P〉0.05）;干预后两组SAS、HAMD评分显著低于干预前,差异有统计学意义（P〈0.05）;且实验组干预后评分明显低于对照组,差异有统计学意义（t=5.787,P〈0.05）。干预前后两组患者的生活质量（躯体功能、认知功能以及社会功能）评分均比干预前显著提高,且实验组显著高于对照组,差异有统计学意义（t=3.564、3.784、6.459,P〈0.05）。结论人性化护理能够切实缓解腹腔镜胃癌根治术后行中药小肠内滴注患者的疲劳感,极大地改善患者的负性心理,并且能提高患者的生活质量,促使患者能够积极配合恢复。

Objective To discuss the influence of humanistic nursing intervention on negative mental status and quality of life in patients receiving traditional Chinese medicine intra-small intestine drip after laparoscopic radical gastrecto- my. Methods 80 patients receiving traditional Chinese medicine intra-small intestine drip after laparoscopic radical gastrectomy in our hospital from October 2014 to October 2015 were selected and randomly divided into the control group and the study group, each with 40 patients. Patients in the control group were given conventional nursing, includ- ing transportation to the ward after admission, introduction of physician-in-charge, ward environment, and regulations in the hospital, monitoring and recording of vital signs, regular inspection after operation, and routine postoperative pain care and nursing of complications. Patients in the study group were additionally given humanistic nursing intervention. Results Patients in both groups were reported moderate fatigue without difference（t=0.52, P〉0.05）, which, however, showed significant difference after intervention （t=7.11,8.45, P〈0.05）; fatigue in the study group was evidently relieved. There was also no significant difference in SAS and HAMD scores before intervention between two groups （P〉0.05）. Af- ter intervention, the SAS and HAMD scores were significantly lower in both groups than before intervention（P〈0.05）, and the scores in the study group were significantly lower than those in the control group （t=5.787,P〈0.05）. The quality of life （somatic function, cognitive function, and social function） scores were significantly higher after intervention in both groups than before intervention, and these in the study group were significantly higher in the study group than in the control group（t=3.564, 3.784, 6.459, P〈0.05）. Conclusion Humanistic nursing can relieve the fatigue of patients re- ceiving traditional Chinese medicine intra-small intestine drip after laparoscopic radical gastrectomy, improve the men- tal status and life quality of patients, and enhance the compliance of patients for recovery.