综合护理干预对乳腺癌PICC置管患者焦虑抑郁状态的影响

Effect of Comprehensive Nursing Intervention on Anxiety and Depression of Patients with Breast Cancer PICC Intubation

目的研究乳腺癌PICC置管患者应用综合护理干预对其焦虑、抑郁状态的影响。方法方便选取2016年9月—2021年7月该院收治的84例女性乳腺癌患者为研究对象,按随机数表法分组,各42例。对照组、观察组分别实施常规护理、综合护理干预,比较两组并发症情况、护理满意度,同时对比两组护理前后生活质量、焦虑及抑郁程度评分。结果护理总满意率比较,观察组(95.24%)高于对照组(73.81%),差异有统计学意义(χ^(2)=7.371,P<0.05);护理后SAS、SDS评分比较,观察组均低于对照组,差异有统计学意义(t=29.774、9.872,P<0.05);并发症发生率比较,观察组(2.38%)低于对照组(21.43%),差异有统计学意义(χ^(2)=7.264,P<0.05);与对照组比较,观察组护理后各项生活质量评分均更高,差异有统计学意义(t=12.237、17.143、15.995、9.113、15.127、15.385、17.345、15.743,P<0.05)。结论乳腺癌PICC置管患者应用综合护理干预,可有效改善患者负性情绪,提高患者生活质量,并减少并发症发生率,以提高患者满意度。

Objective To study the effect of comprehensive nursing intervention on anxiety and depression of breast cancer patients with PICC catheterization.Methods A total of 84 female breast cancer patients admitted to the hospital from September 2016 to July 2021 were conveniently selected as the research subjects,and were divided into groups according to the random number table method,with 42 cases in each group.The control group and the observation group carried out routine nursing and comprehensive nursing intervention respectively,compared the complications and nursing satisfaction of the two groups,and compared the quality of life,anxiety and depression scores of the two groups before and after nursing.Results The total satisfaction rate of nursing in the observation group(95.24%)was higher than that in the control group(73.81%),and the difference was statistically significant(χ^(2)=7.371,P<0.05).After nursing,the scores of SAS and SDS in the observation group were lower than those in the control group,and the differences were statistically significant(t=29.774,9.872,P<0.05).The incidence of complications in the observation group(2.38%)was lower than that in the control group(21.43%),and the difference was statistically significant(χ^(2)=7.264,P<0.05).Compared with the control group,the quality of life scores of the observation group were higher after nursing,and the difference was statistically significant(t=12.237,17.143,15.995,9.113,15.127,15.385,17.345,15.743,P<0.05).Conclusion The application of comprehensive nursing interventions for breast cancer patients with PICC catheterization can effectively improve the negative emotions of the patients,improve the quality of life of the patients,and reduce complication rate,so as to improve patient satisfaction.