心理护理干预对胃癌晚期患者负性情绪、疼痛及睡眠的影响

Effect of psychological nursing intervention on negative emotion,pain and sleep time of patients with advanced gastric cancer

目的探讨心理护理干预实行于胃癌晚期患者对负面情绪及疼痛,睡眠的改善价值。方法经严格纳排标准,选择86例胃癌晚期患者(收集病例时间为2020年3月-2021年8月),根据随机数字表法分组,对照组与观察组每组43例,前者实行常规护理模式,后者实行心理护理干预,评估两组的焦虑抑郁程度(焦虑自评量表(SAS)评分,抑郁自评量表(SDS)评分),睡眠状态(匹兹堡睡眠质量指数(PSQI)评分),疼痛程度(视觉模拟评分法(VAS)评分)以及生活质量并进行组间比较。结果干预后,评估患者负性情绪,两组SAS,SDS评分均呈下降趋势,且观察组更为显著(P<0.05);干预后较对照组结果,观察组疼痛程度即VAS评分,睡眠质量即PSQI评分均显著低,且生活质量即生活质量核心(QLQ-30)测定量表评分显著高(P<0.05)。结论心理护理干预的开展有利于改善胃癌晚期患者焦虑、抑郁等负面情绪,并有效缓解疼痛,以保障良好的睡眠质量,进一步促进生活质量大幅度提高,取得理想的预后结果。

Objective To explore the value of psychological nursing intervention in the improvement of negative emotions,pain and sleep in patients with advanced gastric cancer.Methods After strict acceptance and exclusion criteria,86 patients with advanced gastric cancer(cases were collected from March 2020 to August 2021)were divided into two groups according to the random number table method.The group was divided into control group and observation group,with 43 cases in each group.The former implemented routine nursing mode,and the latter implemented psychological nursing intervention to evaluate the degree of anxiety and depression(SAS score,SDS score)of the two groups Sleep status(Pittsburgh sleep quality index(PSQI)score),pain degree(visual analogue scale(VAS)score)and quality of life were compared between groups.Results After the intervention,the SAS and SDS scores of the two groups showed a downward trend,and the observation group was more significant(P<0.05).After the intervention,compared with the control group,the pain degree,namely VAS score,sleep quality,namely PSQI score,in the observation group were significantly lower,and the quality of life,namely EORTC QLQ-30 score,was significantly higher(P<0.05).Conclusion The implementation of psychological nursing intervention is conducive to improve the anxiety,depression and other negative emotions of patients with advanced gastric cancer,and effectively relieve pain,so as to ensure good sleep quality,further promote the substantial improvement of quality of life,and achieve ideal prognosis.