以综合坚强概念为基础的术前访视对乳腺癌手术患者负性情绪及应激反应的影响

Effect of preoperative visit based on the concept of comprehensive toughness on negative emotion and stress response in patients undergoing breast cancer surgery

目的探讨以综合坚强概念为基础的术前访视对乳腺癌手术患者负性情绪及应激反应的影响。方法将160例乳腺癌手术患者按术前访视方式的不同分为观察组和对照组,每组80例,观察组患者接受以综合坚强概念为基础的术前访视,对照组患者接受常规术前访视。比较两组患者的负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、希望水平[Herth希望量表(HHI)]、应激反应(心率、收缩压、舒张压)、睡眠质量[匹兹堡睡眠质量指数(PSQI)]、护理满意度。结果护理后,两组患者SAS、SDS、PSQI评分均较护理前降低,且观察组患者SAS、SDS、PSQI评分均低于对照组,差异均有统计学意义(P﹤0.05)。护理后,两组患者HHI各维度评分及总分均较护理前升高,且观察组患者HHI各维度评分及总分均高于对照组,差异均有统计学意义(P﹤0.05)。护理后,对照组患者心率、收缩压、舒张压均高于护理前和观察组,差异均有统计学意义(P﹤0.05)。观察组患者满意度高于对照组患者,差异有统计学意义(P﹤0.05)。结论以综合坚强概念为基础的术前访视可减轻乳腺癌手术患者的负性情绪与应激反应,提高其睡眠质量、希望水平和满意度。

Objective To investigate the effect of preoperative visit based on the concept of comprehensive toughness on negative emotions and stress response in patients undergoing breast cancer surgery.Method A total of 160 patients with breast cancer who underwent surgery were divided into observation group and control group,80 cases in each group.Patients in the observation group received preoperative visit based on the concept of comprehensive toughness,and patients in the control group received routine preoperative visit.The negative emotions[self-rating anxiety scale(SAS),self-rating depression scale(SDS)],hope level[Herth hope index(HHI)],stress response(heart rate,systolic blood pressure,diastolic blood pressure),sleep quality[Pittsburgh sleep quality index(PSQI)]and nursing satisfaction of the two groups were compared.Result After nursing,the scores of SAS,SDS and PSQI in two groups were lower than those before nursing,and the scores of SAS,SDS and PSQI in observation group were lower than those in control group,the differences were statistically significant(P<0.05).After nursing,each dimension of HHI scores and total scores in both groups were higher than those before nursing,and each dimension of HHI scores and total scores in observation group were higher than those in control group,the differences were statistically significant(P<0.05).After nursing,the heart rate,systolic blood pressure and diastolic blood pressure of control group were higher than those before nursing and observation group,and the differences were statistically significant(P<0.05).The satisfaction of patients in observation group was higher than that in control group,and the difference was statistically significant(P<0.05).Conclusion Preoperative visit based on the concept of comprehensive toughness can reduce the negative emotion and stress response,improve the sleep quality,hope level and satisfaction of breast cancer patients.