综合护理干预对接受内镜下黏膜剥离术的早期上消化道肿瘤患者情绪的影响

The effect of comprehensive nursing intervention on mood in patients with early upper gastrointestinal cancer received endoscopic mucosal dissection

目的探讨综合护理干预对接受内镜下黏膜剥离术的早期上消化道肿瘤患者心理状态的影响。方法选择2018年1月~2019年6月期间我院收治的早期上消化道肿瘤患者32例为研究对象,随机分为两组,均行内镜下黏膜剥离术治疗,其中给予对照组常规护理,而观察组患者则运用综合护理干预,比较两组护理效果。结果经Logistic多因素分析,发现患者术前心理焦虑和抑郁的发生与社会支持总分、是否合并慢性疾病、文化程度以及性别等因素有关(P<0.05);术前,两组各项评分比较无差异(P>0.05);术后,观察组的HAMD和HAMA评分均低于对照组(P<0.05);两组的住院、术后禁食以及手术时间比较无差异(P>0.05);与对照组比较,观察组的术后不良反应发生率低,组间对比差异明显(P<0.05);观察组的满意度高于对照组(P<0.05);同时,两组的SCL-90评分有统计意义(P<0.05)。结论临床上运用内镜下黏膜剥离术治疗早期上消化道肿瘤患者时,患者会出现不同程度的抑郁和焦虑,通过给予患者综合护理干预,能够减轻不良情绪,减少术后不良反应,提高患者满意度。

Objective To investigate the effect of comprehensive nursing intervention on mood in patients with early upper gastrointestinal cancer received endoscopic mucosal dissection. Methods Thirty-two patients with early upper gastrointestinal tumor admitted to our hospital from January 2018 to June 2019 were selected as the study objects and randomly divided into two groups. All of them were treated with endoscopic mucosal dissection,in which the control group received routine nursing care,while the observation group received comprehensive nursing intervention to compare the nursing effect of the two groups. Results Logistic multivariate analysis found that the occurrence of preoperative psychological anxiety and depression was related to the total score of social support,whether chronic diseases were combined,education level,gender and other factors(P<0.05). Before surgery,there was no difference in scores between the two groups(P>0.05). After the operation,HAMD and HAMA scores in the observation group were lower than those in the control group(P<0.05). There was no difference in hospitalization,postoperative fasting and operation time between the two groups(P>0.05). Compared with the control group,the incidence of postoperative adverse reactions in the observation group was low,and the difference between groups was significant(P<0.05). The satisfaction of the observation group was higher than that of the control group(P<0.05). At the same time,the scl-90 scores of the two groups were statistically significant(P<0.05). Conclusion When endoscopic mucosal dissection is used to patients with early upper gastrointestinal tumors,patients will suffer from different degrees of depression and anxiety. By giving comprehensive nursing intervention to patients,adverse emotions can be alleviated,postoperative adverse reactions can be reduced,and patient satisfaction can be improved.