个性化护理联合心理诱导在胃癌患者术后恢复期间的应用效果

The effect of personalized nursing combined with psychological induction in postoperative recovery of gastric cancer patients

目的研究个性化护理联合心理诱导在胃癌患者术后恢复期间的应用效果,为临床护理提供参考。方法选取2017年10月-2018年4月在江汉大学附属医院(武汉市第六医院)进行腹腔镜胃癌手术治疗的患者90例,采用随机数字表法分为常规护理组、个性化护理组与心理联合组,每组30例,对3组患者进行分别护理。统计3组患者术后首次排气时间及住院时间,对比3组患者护理前后的心理情况、睡眠质量、生活质量,评价3组患者护理过程中的依从性,并对3组患者护理满意度进行调查。结果心理联合组患者术后排气时间及住院时间均短于其他2组(P<0.05)。3组患者护理后的SAS评分均低于护理前(P<0.05),常规护理组、个性化护理组患者SDS评分略低于护理前,但差异无统计学意义(P>0.05),心理联合组患者SAS、SDS明显低于护理前,且低于其他2组(P<0.05)。常规护理组患者护理前后AIS、生活质量评分比较,差异均无统计学意义(P>0.05);个性化护理组患者护理后AIS、生活质量评分略优于护理前,差异无统计学意义(P>0.05);心理联合组患者护理后AIS、生活质量评分优于护理前,且优于其他2组(P<0.05)。心理联合组患者依从优良率及护理满意度均高于其他2组(P<0.05)。结论个性化护理联合心理诱导能够减少患者术后恢复期间的负面情绪,提高患者护理依从性,改善患者生活质量、睡眠质量,受到患者及患者家属的广泛认同。

Objective To study the effect of personalized nursing combined with psychological induction in the recovery period of patients with gastric cancer after operation.Methods Ninety patients with gastric cancer underwent laparoscopic surgery in Wuhan NO.6 Hospital from October 2017 to April 2018 were selected and divided into conventional nursing group,personalized nursing group and psychological combined group by random number method,with 30 cases in each group.The first exhaust time and hospitalization time of the three groups were counted.The psychological status,sleep quality and quality of life of the three groups were compared before and after nursing.The compliance of the three groups in nursing process was evaluated,and the nursing satisfaction of the three groups was investigated.Results The exhaust time and hospitalization time of the combined group were lower than those of the other two groups(P<0.05).The SAS scores of the three groups were lower than those before the nursing(P<0.05).The SDS scores of the conventional nursing group and the personalized nursing group were slightly lower than that before nursing(P>0.05).The SAS and SDS scores of the psychological combined group were significantly lower than those before nursing,and lower than those of the other two groups(P<0.05).There was no significant difference in AIS and QOL scores before and after nursing in conventional nursing group(P>0.05).The AIS scores and quality of life scores of the patients in the personalized nursing group were slightly better than those before the nursing(P>0.05).The AIS and QOL scores in psychological combined group were better than those before nursing,and better than those of other two groups(P<0.05).The compliance rate and nursing satisfaction rate of the psychological combined group were higher than those of the other two groups(P<0.05).Conclusion Personalized nursing combined with psychological induction can reduce the negative emotions during the recovery period,improve the patient’s nursing compliance,the quality of life and sleep of patients,which is widely recognized by patients and their families.