摘要
目的探究多元化护理结合心理干预用于结肠癌切除术患者的临床价值。方法选取2018年4月-2020年12月于南阳市某医院行结肠癌切除术患者共206例为研究对象,采用随机数字表法分为研究组和对照组,各103例。对照组患者行多元化护理,研究组患者在对照组基础上行心理护理干预,2组患者均护理30 d。比较2组患者在护理前后胃肠功能、心理状况[焦虑自评量表(SAS)、抑郁自评量表(SDS)评分]以及生活质量量表(QOL)评分的变化情况。结果护理后,研究组患者首次排气时间、肠蠕动恢复时间、胃管拔出时间均显著短于对照组,差异均有统计学意义(P<0.001)。护理前,2组患者SAS及SDS评分比较,差异均无统计学意义(P>0.05)。护理后,2组患者SAS及SDS评分均低于护理前,且研究组明显低于对照组,差异均有统计学意义(P<0.001)。护理前,2组患者QOL总分及各条目评分比较,差异均无统计学意义(P>0.05)。护理后,2组患者QOL总分及各条目评分均高于护理前,且研究组明显高于对照组,差异均有统计学意义(P<0.05)。结论多元化护理结合心理干预能显著改善结肠癌切除术患者的焦虑、抑郁情绪,有效提高患者的胃肠道功能和生活质量,具有临床价值,值得推广。
Objective To explore the clinical study of diversified nursing combined with psychological intervention for patients undergoing colon cancer resection.Methods A total of 206 patients who underwent colon cancer resection in a hospital in Nanyang from April 2018 to December 2020 were selected as study subjects and divided into study and control groups using the random number table method,103 cases each.The patients in the control group were given diversified care and the patients in the study group were given psychological care intervention on the basis of the control group,and the patients in the two groups were cared for 30 d.The changes in gastrointestinal function,psychological status[self-rating anxiety scale(SAS),self-rating depression scale(SDS)]and quality of life(QOL)scores of the patients in the two groups were compared before and after care.Results After care,the first exhaust time,time to recovery of bowel movements,and time to removal of gastric tube were significantly shorter in the study group than in the control group(P<0.001).Before care,there was no statistically significant difference in SAS and SDS scores between the 2 groups of patients(P>0.05).After care,the SAS and SDS scores of patients in the 2 groups were lower than before care,and the study group was lower than the control group,and the differences were statistically significant(P<0.001).Before care,there was no statistically significant difference between the QOL scores of patients in the 2 groups(P>0.05).After care,the QOL scores of the patients in both groups were lower than before care,and the study group was lower than the control group,and the differences were statistically significant(P<0.05).Conclusion Diversified nursing combined with psychological intervention can significantly improve the anxiety and depression of colon cancer resection patients,and effectively improve the gastrointestinal function and quality of life of patients.It has considerable clinical value and is worth promoting.
作者
王霞
郭桓梓
程莹莹
Wang Xia;Guo Huanzhi;Cheng Yingying(Department of General Surgery, The First Affiliated Hospital of Nanyang Medical College, Nanyang Henan 473000, China)
出处
《保健医学研究与实践》
2022年第1期98-101,共4页
Health Medicine Research and Practice
关键词
多元化护理
心理干预
结肠癌切除术
胃肠功能
Diversified nursing
Psychological intervention
Colon cancer resection
Gastrointestinal function