心理护理对直肠癌结肠造口患者护理质量的影响

Effect of psychological nursing on the quality of care in patients with rectal cancer colostomy

目的探讨心理护理对直肠癌结肠造口患者护理质量的影响。方法选择2017年12月~2018年12月进行直肠癌结肠造口治疗的患者100例作为研究对象,采用随机数字表将患者分为对照组(n=50)和观察组(n=50)。对照组患者在治疗后采用常规的护理方法,观察组患者在其基础上进行心理护理的干预。比较两组患者护理前与护理15 d后焦虑抑郁情况评分,比较两组患者生活质量(QOL)评分以及患者的护理满意度。结果两组患者护理前焦虑(SAS)抑郁(SDS)情况评分比较无统计学意义(P>0.05),观察组患者经15 d护理后其焦虑(SAS)抑郁(SDS)评分显著低于对照组(P<0.05);护理前两组患者精神健康情况、生理职能情况、躯干疼痛情况评分比较无统计学意义(P>0.05),经15 d护理后,观察组患者精神健康情况、生理职能情况显著高于对照组(P<0.05),观察组患者躯干疼痛情况显著低于对照组(P<0.05)。15 d护理后观察组患者护理满意度显著高于对照组(P<0.05)。结论对直肠癌结肠造口的患者实行心理护理,降低患者焦虑抑郁情况的发生,提高患者的生活质量及患者的护理满意度,整体上有助于患者的康复,值得推广应用。

Objective To explore the effect of psychological nursing on the quality of care in patients with rectal cancer colostomy.Methods 100 patients with rectal cancer colostomy from December 2017 to December 2018 were selected as subjects.They were divided into control group(n=50)and observation group(n=50)by random number table.The patients in the control group were treated with conventional nursing methods after treatment,and the patients in the observation group were additionally intervened with psychological care.The anxiety and depression scores of the two groups were compared before nursing and after 15 days of nursing.The quality of life(QOL)scores and the patient's satisfaction were compared between the two groups.Results There was no significant difference in the pre-care anxiety(SAS)depression(SDS)score between the two groups(P>0.05).The anxiety(SAS)and depression(SDS)scores of the observation group were significantly lower than those of the control group after 15 days of nursing(P<0.05).There were no statistically significant differences in mental health,physiological function,and trunk pain scores between the two groups before treatment(P>0.05).After 15 days of nursing,the mental health and physiological function of the observation group were significantly higher than those of the control group(P<0.05).The trunk pain of the observation group was significantly lower than that of the control group(P<0.05).The nursing satisfaction of the observation group was significantly higher than that of the control group after 15 days of nursing(P<0.05).Conclusion Psychological nursing for patients with rectal cancer colostomy reduces the occurrence of anxiety and depression,improves the quality of life of patients and the satisfaction of care,and contributes to the rehabilitation of patients.It is worthy of promotion and application.