全程优质护理对结直肠癌患者术后焦虑抑郁情绪和生活质量的影响

Effect of quality nursing intervention on post-operative anxiety,depression and quality of life of colorectal cancer patients

目的探讨全程优质护理干预措施对结直肠癌患者术后焦虑抑郁情绪和生活质量的影响。方法选取2018年6月—2020年6月某院结直肠癌患者86例,按随机数字表法分为研究组(n=43)和对照组(n=43),对照组采用常规护理,研究组在对照组基础上采用全程优质护理。比较两组干预前后负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、视觉模拟评分法(VAS)、匹兹堡睡眠质量指数量表(PSQI)评分、癌症患者生活质量量表(QLQ-C30)评分和恢复情况。结果干预后,研究组SAS、SDS评分较对照组低(P<0.05);干预后,研究组VAS、PSQI评分较对照组低(P<0.05);研究组下床活动时间、首次排便时间、首次肛门排气时间、住院时间较对照组短(P<0.05);干预后,研究组QLQ-C30评分较对照组高(P<0.05)。结论全程优质护理应用于结直肠癌患者,可缓解其负性情绪,减轻疼痛感,改善睡眠质量,加快术后恢复,提高生活质量。

Objective To investigate the effect of quality nursing intervention on postoperative anxiety,depression and quality of life in patients with colorectal cancer.Methods 86 patients with colorectal cancer from June 2018~June 2020,divided into study group(n=43)and control group(n=43),Control group with routine care,The study group adopted the whole process of high quality nursing on the basis of the control group.negative emotions[self-rating anxiety scale(SAS),self-rating depression scale(SDS)],visual analogue scale(VAS),pittsburgh sleep quality index scale(PSQI),quality of life scale(QLQ-C30)and recovery were compared between the two groups before and after intervention.After the intervention,The SAS、SDS score of the study group was lower than that of the control group(P<0.05);After the intervention,The VAS、PSQI score of the study group was lower than that of the control group(P<0.05);Activity time,first defecation time,first anal exhaust time,hospitalization time were shorter than control group(P<0.05);After the intervention,The QLQ-C30 score of the study group was higher than that of the control group(P<0.05).Conclusion The whole course of high quality nursing is applied to colorectal cancer patients,Can relieve negative emotions,To relieve the pain,Improving sleep quality,Accelerating postoperative recovery,Improve the quality of life.