摘要
目的探讨基于积极心理学理论的护理干预对晚期食管癌患者心理状态的影响。方法选取2016年1月至2019年1月间广元市第一人民医院收治的94例晚期食管癌患者,采用随机数字表法分为观察组和对照组,每组47例。对照组患者采用常规护理干预,观察组患者在对照组基础上采用基于积极心理学理论的护理干预措施,比较两组患者护理效果、心理状态变化及满意度情况。结果护理前,两组患者焦虑和抑郁评分比较,差异无统计学意义(P>0.05);护理后,两组患者焦虑和抑郁评分均降低,且观察组均低于对照组,差异均有统计学意义(均P<0.05)。观察组患者角色功能、身体功能、认知、情绪、社会功能、总体健康及物理症状评分均高于对照组,差异均有统计学意义(均P<0.05)。观察组患者护理满意率为93.6%,高于对照组的70.2%,差异有统计学意义(P<0.05)。结论晚期食管癌患者采用基于积极心理学理论的护理干预,可有效改善患者心理状态,提高生存质量及满意度,增加临床护理安全性和有效性。
Objective To analyze the influence of nursing intervention based on positive psychology theory on the psychological state in patients with advanced esophageal cancer.Methods A total of 94 patients with advanced esophageal cancer admitted to The First People’s Hospital of Guangyuan from January2016 to January 2019 were enrolled.The patients were divided into an observation group and a control group according to the random number table method with 47 patients in each group.The observation group was given nursing intervention based on positive psychology theory,and the control group was given routine nursing.Nursing efficacy,changes in psychological status and satisfaction were compared between the two groups.Results There was no significant difference in Hamilton anxiety scale(HAMA)and Hamilton depression scale(HAMD)scores between the two groups before the treatment(P>0.05).The HAMA and HAMD scores decreased after treatment in the two groups and the HAMA and HAMD scores were significantly lower in the observation group than in the control group(all P<0.05).The scores of role,physical,cognitive,emotional and social function,overall health and physical symptoms were higher in the observation group than in the control group(all P<0.05).The satisfaction rate was 93.6%in the observation group which was higher than 70.2%of the control group(P<0.05).Conclusion The implementation of nursing intervention based on positive psychology theory can effectively improve the patients psychological state,quality of life and satisfaction in patients with advanced esophageal cancer,and it is of great significance to increase the safety and effectiveness of clinical nursing.
作者
刘萧
范平芝
熊慧
LIU Xiao;FAN Ping-zhi;XIONG Hui(Department of Gastroenterology,The First People's Hospital of Guangyuan,Guangyuan 628000,China)
出处
《中国肿瘤临床与康复》
2020年第2期239-242,共4页
Chinese Journal of Clinical Oncology and Rehabilitation
关键词
积极心理学
护理干预
晚期食管肿瘤
心理状态
满意度
Positive psychology
Nursing intervention
Advanced esophageal neoplasms
Psychological state
Satisfaction
作者简介
刘萧,女,主管护师,主要从事消化系统疾病护理专业。