27例脑肿瘤患者术后负性情绪影响因素分析

Influence Factors of Postoperative Negative Emotion in Brain Cancer Patients and Nursing Strategy

目的探讨脑肿瘤患者术后负性情绪的影响因素及护理对策。方法选择100例脑肿瘤患者,采用焦虑自评量表(SAS)和抑郁自评量表(SDS)进行术后调查问卷,根据问卷结果将负性情绪患者27例设为观察组,未产生负性情绪患者73例设为对照组,分析患者术后负性情绪的影响因素,研究其护理对策。结果单因素分析结果显示,在可能的影响因素中,观察组年龄≥60岁、经济状况一般及以下、疾病认知情况差、社会支持差、术后美国国立卫生研究院卒中量表(NIHSS)>13分患者所占比例均高于对照组,差异有统计学意义(P<0.05)。多因素分析结果显示,疾病认知情况差、社会支持差、术后NIHSS>13分均是脑肿瘤患者术后产生负性情绪独立危险因素。结论脑肿瘤患者术后负性情绪的影响因素较多,应给予相应护理对策。

Objective To investigate the influence factors of postoperative negative emotion in brain cancer patients and study the nursing strategy. Methods Clinic data of 100 cases with brain cancer were selected and given postoperative questionnaire of SAS and SDS,they were divided into observation group（ patients with negative emotion,n = 27） and control group（ patients with non negative emotion,n =73）,influence factors of postoperative negative emotion of patients were analyzed,nursing strategy was studied. Results Simple factor analysis showed that,among possible influence factors,the proportion of patients with age ≥60,general and worse economic conditions,worse illness cognition,worse social support,postoperative NIHSS score 13 in the observation group was significantly higher than that in the control group,the difference was statistically significant（ P 0. 05）. Multifactor analysis showed that,worse illness cognition,worse social support,postoperative NIHSS score 13 were all related with postoperative negative emotion of brain cancer patients. Conclusion After operation patients with brain cancer have more negative emotion. They should be given corresponding nursing measures.