人文关怀联合心理护理对乳腺癌术后患者负性情绪的影响

Effect of humanistic care combined with psychological nursing on negative emotions in patients with breast cancer after operation

目的探讨人文关怀联合心理护理对改善乳腺癌术后患者的负性情绪及提高护理满意度的效果。方法于2021年11月~2022年10月阶段采集120例乳腺癌术后患者,基于随机数字表法分为对照组与观察组,前一组实行常规护理,后一组开展人文关怀联合心理护理,每组60例;利用汉密尔顿焦虑量表(HAMA),汉密尔顿抑郁量表(HAMD),心理弹性量表简化版(CD-RISC)评估患者负性情绪和心理健康状态,癌症康复评估量表(CARES)评估生活质量,满意度问卷调查护理满意度,将以上数据两组对比。结果较干预前HAMA,HAMD和CD-RISC评分的评估结果,患者干预后HAMA,HAMD评分均下降,CD-RISC评分均升高,且观察组更显著(P<0.05);干预后,观察组CARES-SF评分明显低于对照组(P<0.05);观察组护理满意度明显高于对照组(P<0.05)。结论对乳腺癌术后患者实行人文关怀联合心理护理,有利于维持其良好心理状态,增强心理弹性,进一步保证良好生活质量,并提高护理满意度。

Objective To explore the effect of humanistic care combined with psychological nursing on improving negative emotions and nursing satisfaction of patients after breast cancer surgery.Methods From November 2021 to October 2022,120 cases of breast cancer patients after surgery were collected and studied.They were divided into control group and observation group based on random number table.The former group received routine nursing care,and the latter group received humanistic care combined with psychological nursing care,with 60 cases in each group;Hamilton Anxiety Scale(HAMA),Hamilton Depression Scale(HAMD),and Simplified Psychoelasticity Scale(CD-RISC)were used to determine the negative emotions and mental health status of patients.Cancer Rehabilitation Assessment Scale(CARES)was used to assess the quality of life.Nursing satisfaction was investigated with satisfaction questionnaire.The data above were compared between the two groups.Results Compared with the evaluation results of HAMA,HAMD and CD RISC scores before intervention,HAMA,HAMD scores decreased and CD RISC scores increased in the patients after intervention,which was more significant in the observation group(P<0.05).After intervention,CARES-SF score in the observation group was significantly lower than that in the control group(P<0.05).Nursing satisfaction in the observation group was significantly higher than that in the control group(P<0.05).Conclusion The combination of humanistic care and psychological care for postoperative patients with breast cancer is beneficial to maintain their good psychological state,enhance their psychological flexibility,further ensure good quality of life,meet the needs of patients and improve their satisfaction.