围手术期个性化心理护理对肺癌患者术前焦虑与术后恢复的影响研究

The Effect of Perioperative Personalized Psychological Nursing on Preoperative Anxiety and Postoperative Recovery of Lung Cancer Patients

目的探讨围术期个性化心理护理对肺癌患者术前焦虑与术后恢复的影响。方法选取我院(2016年1月至2019年1月)收治的110例肺癌手术患者,根据不同护理分为两组,对照组(n=55)接受常规护理,观察组(n=55)在对照组患者基础上接受个性化心理护理,对比两组患者护理前后术前心理状况和血清皮质醇(COR)水平以及术后恢复情况和健康状况。结果护理后观察组患者SAS、SDS评分分别为(41.48±8.50)、(42.64±6.62),对照组分别为(50.68±8.56)、(50.14±6.65),护理后两组患者SAS、SDS评分均明显降低,观察组患者下降更明显(t=5.6559、5.9277,P<0.05)。护理后观察组患者血清COR水平为(13.82±4.03)μg/dL,对照组COR水平为(16.75±4.32)μg/dL,护理后两组患者血清COR水平均明显降低,观察组患者下降更明显(t=3.6780,P<0.05)。观察组离床活动时间(67.58±4.68)min明显快于对照组(97.25±5.16)min,心电监控时间(1.35±0.14)d和引流时间(3.77±1.23)d,明显短于对照组(2.94±0.44)d、(9.94±1.61)d,均有统计学差异(t=31.5866、25.5379、22.5845,P<0.05)。护理后观察组患者整体功能、角色功能、认知功能、情绪功能、躯体功能分别为(64.57±5.47)、(66.82±5.18)、(63.11±5.31)、(67.36±5.17)、(60.32±4.74),对照组分别为(56.58±5.36)、(55.21±5.04)、(53.21±4.36)、(55.61±5.32)、(53.72±4.62),有统计学差异(t=7.7374、11.9134、10.6861、11.7467、7.3948,P<0.05)。结论围术期个性化心理护理能有效缓解术前焦虑、抑郁情绪,促进术后恢复,提高健康状况,值得临床推广。

Objective To explore the influence of perioperative personalized psychological nursing on preoperative anxiety and postoperative recovery of lung cancer patients.Methods 110 lung cancer patients in our hospital(January 2016-January 2019)were divided into two groups according to different nursing.The control group(n=55)received routine nursing,the observation group(n=55)received personalized psychological nursing on the basis of the control group.The preoperative psychological status,serum cortisol(COR)level,postoperative recovery and health of the two groups were compared before and after nursing Condition.Results After nursing,the SAS and SDS scores of the observation group were(41.48±8.50)and(42.64±6.62),respectively,and those of the control group were(50.68±8.56)and(50.14±6.65),respectively.After nursing,the SAS and SDS scores of the two groups were significantly reduced,and the decrease of the observation group was more significant(t=5.6559 and 5.9277,P<0.05).After nursing,the level of serum cor was(13.82±4.03)μg/dL in the observation group and(16.75±4.32)μg/dL in the control group.After nursing,the level of serum cor was significantly lower in the two groups,especially in the observation group(t=3.6780,P<0.05).The activity time of the observation group was(67.58±4.68)min,(97.25±5.16)min,ECG monitoring time was(1.35±0.14)d and drainage time was(3.77±1.23)d,which was significantly shorter than that of the control group(2.94±0.44)d,(9.94±1.61)d,with statistical differences(t=31.5866,25.5379,22.5845,P<0.05).After nursing,the overall function,role function,cognitive function,emotional function and physical function of the patients in the observation group were(64.57±5.47),(66.82±5.18),(63.11±5.31),(67.36±5.17),(60.32±4.74),respectively,and those in the control group were(56.58±5.36),(55.21±5.04),(53.21±4.36),(55.61±5.32),(53.72±4.62),with statistical difference(t=7.7374,11.9134,10.6861,11.7467,7.3948,P<0.05).Conclusion Perioperative individualized psychological nursing can effectively relieve anxiety and depression,promote postoperative recovery,and improve health status,which is worthy of clinical promotion.