肿瘤科放化疗患者负性情绪的诱因及心理护理的效果和注意事项

Inducement of Negative Emotion in Patients with Chemotherapy and Radiotherapy in Department of Oncology and Psychological Nursing Effect and Matters Needing Attention

目的概括肿瘤放化疗患者出现负性情绪的原因并探讨心理护理的应用效果及注意事项。方法选取2016年12月—2017年12月武警浙江省总队医院嘉兴医院收治的280例接受放化疗的中晚期癌症患者进行研究;将280例患者分为实验组和对照组,每组各140例;两组均实施放化疗常规护理,观察组在此基础上联用心理护理,比较两组的护理效果。结果中晚期癌症放化疗患者负性情绪产生的因素主要以疾病复发、疾病及放化疗引起的不良反应和治疗费用三项为主,且不同年龄阶段的患者三项因素的比例会发生变化。实验组患者干预后SAS(焦虑自评量表)、SDS(抑郁自评量表)评分为(53.31±4.72)分、(56.36±5.52)分,两项指标均优于对照组的(61.89±5.39)分、(63.35±6.19)分,且各数据组间对比均有统计学意义(P<0.05)。结论在掌握肿瘤放化疗患者负性情绪产生原因的基础上,科学的实施心理护理可有效改善患者的负性情绪。

BJECTIVE To summarize the causes of negative emotions in cancer patients with chemotherapy and radiotherapy and to explore the effects and precautions of psychological nursing. METHODS 280 cases of middle and advanced cancer patients who received chemotherapy and radiotherapy were selected from December 2016 to December 2017 were studied. Based on the voluntary principle of patients,280 subjects were divided into experimental and control groups, with 140 cases in each group. The two groups were all treated with routine nursing of radiotherapy and chemotherapy,The observation group was treated with psychological nursing on this basis, and the nursing effects of the two groups were compared. RESULTS The statistics showed that the factors of negative emotion in the patients with advanced cancer and chemotherapy are mainly due to the recurrence of disease,the adverse reaction caused by chemotherapy and radiotherapy, and the cost of treatment, and the proportion of three factors in the patients of different age stages would change. The scores of SAS（self rating Anxiety Scale） and SDS（self rating Depression Scale）score of the experimental group were（53.31±4.72）and（56.36±5.52）. The two indexes were superior to those of the control group（61.89±5.39）,（63.35±6.19）,and all of the data groups were statistically significant（P〈0.05）. CONCLUSION On the basis of mastering the causes of negative emotions in patients undergoing chemoradiotherapy, scientific implementation of psychological nursing could effectively improve the negative emotions of patients.