问题导向干预模式对胃癌术后患者生活质量与负面情绪的影响

Effect of Problem-oriented Intervention Model on the Quality of Life and Negative Emotion of Patients after the Gastric Cancer Surgery

目的探讨实施问题导向干预模式对胃癌患者术后生活质量、负面情绪的影响。方法选择该院2014年1月—2017年12月期间收治的80例胃癌手术患者。以住院号单号为观察组,双号为对照组。对照组患者接受常规护理,观察组实施问题导向干预模式下的护理措施。对比分析患者护理前后生活质量及负面情绪变化情况。结果护理前,观察组和对照组生活质量综合评分比较差异无统计学意义(P>0.05)。护理后,观察组和对照组较治疗前均有显著改善,综合评分分别为(77.55±15.77)分、(70.88±7.27)分;治疗后两组患者评分比较差异有统计学意义(t=5.107,P<0.05)。护理前观察组和对照组患者HAMA评分、HAMD评分比较差异无统计学意义(P>0.05)。护理后,观察组患者HAMA、HAMD评分分别为(10.43±2.33)分、(8.06±1.11)分,对照组患者HAMA、HAMD评分分别为(12.31±2.12)分、(10.82±2.52)分,较治疗前均有显著改善(P<0.05)。观察组和对照组患者HAMA、HAMD比较差异有统计学意义(t=7.471,12.286,P<0.05)。结论对于行胃癌手术的患者术后可实施以问题为导向的干预措施,可显著改善患者临床症状,帮助提高患者生活质量,缓解负面情绪,值得推广。

Objective To study the effect of problem-oriented intervention model on the quality of life and negative emotion of patients after the gastric cancer surgery. Methods 80 cases of patients with gastric cancer surgery in our hospital from January 2014 to December 2017 were selected and divided into two groups, the control group used the routine nursing, while the observation group used the nursing measures under the problem-oriented intervention model,and the quality of life and changes of negative emotions were compared before and after nursing. Results Before nursing, the differences in the comprehensive scores between the observation group and the control group were no statisticaly significance（P 〉0.05）, after nursing, the scores of the two groups were improved obviously compared with those before treatment, and the comprehensive scores were respectively（77.55±15.77）points,（70.88±7.27）points, after treatment,the differences in scores between the two groups were statistically significant（t=5.107, P 〈0.05）, before nursing, the differences in the HAMA scores and HAMD scores between the two groups before nursing were not obvious,no statisticaly significance（P 〉0.05）, after nursing, the HAMA, HAMD scores in the observation group and in the control group were respectively（10.43±2.33）points,（8.06±1.11）points and（12.31±2.12）points,（10.82±2.52）points, which were obviously improved compared with those before treatment（P 〈0.05）, and the differences between groups were statistically significant（t=7.471,12.286, P〈0.05）. Conclusion The problem-oriented intervention measures in patients with gastric cancer surgery can obviously improve the clinical symptoms, help improve the quality of life and relieve the negative emotions, and it is worth promotion.