摘要
目的:探讨适应-系统双模式心理护理在结直肠癌手术病人的应用及对希望水平、生存质量的影响。方法:选取78例结直肠癌手术病人为研究对象,按入院顺序将2019年6月至2021年6月入院病人分成对照组(40例),2021年7月至2022年6月入院病人分成观察组(38例)。对照组给予常规心理护理干预,观察组给予适应-系统双模式心理护理干预,比较2组病人的心理状态量表(SCL-90)评分、Herth希望量表(HHI)评分、适应能力量表评分、癌症生命质量量表(FACT-G)评分和治疗依从性的差异。结果:干预后,2组焦虑、抑郁、恐惧、紧张评分均低于同组干预前,且观察组SCL-90各项评分均低于对照组(P<0.05~P<0.01);2组HHI、适应能力量表、FACT-G各项评分均高于同组干预前,且观察组均高于对照组(P<0.05~P<0.01);观察组的治疗依从性高于对照组(P<0.05)。结论:结直肠癌手术病人适应-系统双模式心理护理干预对结肠癌手术病人的护理效果显著,能有效改善病人负面心理状态,提高希望水平、适应能力和治疗依从性,进而提高生活质量。
Objective:To explore the application of adaption-system dual mode psychological nursing in patients undergoing colorectal cancer surgery and its influences on hope level and quality of life.Methods:A total of 78 patients undergoing colorectal cancer surgery were enrolled as the study subjects.According to the order of admission,they were divided into control group(40 cases,from June 2019 to June 2021)and observation group(38 cases,from July 2021 to June 2022).The control group was given routine psychological nursing,while the observation group was given adaption-system dual mode psychological nursing.The scores of symptom check list-90(SCL-90),Herth hope index(HHI),adaptability scale,functional assessment of cancer therapy(FACT-G),and treatment compliance were compared between the two groups.Results:After intervention,scores of anxiety,depression,fear and tension in both groups were decreased,and SCL-90 scores were lower in observation group than control group(P<0.05 to P<0.01).The scores of HHI,adaptability scale and FACT-G in both groups were increased,which were higher in observation group than control group(P<0.05 to P<0.01).The treatment compliance in study group was higher than that in control group(P<0.05).Conclusions:The adaption-system dual mode psychological nursing has significant nursing effect in patients undergoing colorectal cancer surgery,which can effectively alleviate negative psychological states,improve hope level,adaptability,and treatment compliance,and thus improve quality of life.
作者
方磊
潘张华
江怀宁
陈婷婷
章永伟
FANG Lei;PAN Zhanghua;JIANG Huaining;CHEN Tingting;ZHANG Yongwei(Department of Gastrointestinal Surgery,Anqing First People′s Hospital Affiliated to Anhui Medical University,Anqing Anhui 246000,China;Operating Room,Anqing First People′s Hospital Affiliated to Anhui Medical University,Anqing Anhui 246000,China)
出处
《蚌埠医学院学报》
CAS
2024年第8期1076-1080,共5页
Journal of Bengbu Medical College
基金
安徽省高校自然科学研究项目(KJ2021A0344)。
关键词
结直肠肿瘤
适应-系统双模式
心理护理
希望水平
生活质量
colorectal neoplasms
adaption-system dual mode
psychological nursing
hope level
quality of life
作者简介
方磊(1986-),女,主管护师.
