心理护理干预对胃癌患者疼痛、睡眠质量及生命质量的改善作用

Effect of Psychological Nursing Intervention on Pain,Sleep Quality and Life Quality of Patients with Gastric Cancer

目的:研究对胃癌患者实施心理护理干预后对其疼痛、睡眠及生命质量的影响。方法:选取2019年5月至2020年5月期间至福州市长乐区医院接受治疗的胃癌患者90例作为研究对象,按照随机数字表法分为观察组和对照组,每组45例,对照组经治疗后予以临床常规护理,观察组在此基础上采用心理护理实施干预,分别观察2组患者经不同方式护理前后的疼痛模拟视觉(VAS)评分及匹兹堡睡眠质量指数(PSQI)评分情况,以评估其疼痛及睡眠质量的改善情况,并在患者实施护理干预3个月后采用生命质量评定量表(SF-36)评估其生命质量。结果:经不同方式护理后,2组患者的VAS评分及PSQI评分均有所改善,且观察组评分优于对照组,经护理3个月后观察组的SF-36评分也高于对照组,以上数据经比较差异均有统计学意义(均P<0.05)。结论:对胃癌患者实施心理护理干预可有效缓解患者由于疾病带来的痛苦并改善其睡眠质量,同时患者经心理护理干预后其生命质量得到明显提升,心理护理干预的临床价值较高,建议予以推广应用。

Objective:To study the effect of psychological nursing intervention on pain,sleep and quality of life in patients with gastric cancer.Methods:A total of 90 gastric cancer patients who received treatment in our hospital from May 2019 to May 2020 were selected as the research objects.All patients were randomly divided into observation group and control group according to the number table method,with 45 cases in each group.The control group was given clinical routine nursing after treatment,and the observation group was given psychological nursing intervention on this basis.The pain simulation visual(VAS)scores and Pittsburgh Sleep Quality Index(PSQI)scores of the two groups before and after different ways of nursing were observed to assess the improvement of pain and sleep quality.The quality of life rating scale(SF-36)was used to evaluate the quality of life of the patient after 3 months of nursing intervention.Results:After different ways of nursing,the VAS score and PSQI score of the two groups have improved,and the score of the observation group is better than that of the control group.After 3 months of nursing,the score of SF-36 of the observation group is also higher than that of the control group.The above data were statistically significant(all P<0.05).Conclusion:Psychological nursing intervention for patients with gastric cancer can effectively alleviate the pain caused by the disease and improve their sleep quality.At the same time,the patient′s quality of life has been significantly improved after psychological nursing intervention.The clinical value of psychological nursing intervention is high,and it is recommended to be promoted and applied.