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共情护理干预对行直肠癌根治术患者的影响分析
作者:潘晓虹  
单位:湖北省荆州市中心医院
关键词:直肠癌根治术 共情护理干预 焦虑抑郁情绪 治疗依从性 生存质量 
分类号:
出版年·卷·期(页码):2016··第七期(0-)
摘要:

目的:探讨共情护理干预对行直肠癌根治术患者治疗依从性及焦虑抑郁情绪的影响。方法:选择2013年11月-2014年10月在我院接受直肠癌根治术治疗的患者122例作为研究对象,随机分成对照组观察组两组,各61例。对照组患者行围手术期接受常规护理。观察组患者行围手术期的同时接受共情护理干预。结果:观察组患者SAS评分(19.06±2.55)分、SDS评分(18.32±3.41)分均低于对照组患者SAS评分(27.24±4.27)分、SDS评分(28.16±4.87)分,差异具有统计学意义(P<0.01)。观察组患者的心率(78.17±2.04)次/min、收缩压水平(120.46±3.74)mmHg低于对照组患者的心率(88.35±4.50)次/min、收缩压水平(136.35±2.99)mmHg,差异具有统计学意义(P<0.01)。观察组患者SCL-90量表中的焦虑、抑郁、偏执、强迫、狂躁、恐惧的评分均低于对照组患者SCL-90量表中的焦虑、抑郁、偏执、强迫、狂躁、恐惧,差异具有统计学意义(P<0.01)。观察组患者的治疗依从性为91.80%高于对照组患者的治疗依从性为68.84%,差异具有统计学意义(P<0.01)。结论:共情护理干预在直肠癌根治术围手术期具有十分高的应用价值,能够缓解患者焦虑抑郁等不良情绪,稳定患者的心率和收缩压,改善患者的精神障碍、促进心理健康,同时能够显著提高患者治疗依从性。

Objective: To explore the effects of empathy nursing intervention on the treatment compliance and anxiety depression for patients with radical resection of rectal cancer. Methods: 122 patients who received radical resection of rectal cancer in our hospital between November 2013 and October 2014 were selected as the research object, which were randomly divided into a control group and an observation group, each with 61 cases. Patients in control group were given routine nursing during the perioperative period, whereas those in the observation group were given empathy nursing intervention during the perioperative period. Results: The scores of SAS and SDS in the observation group were respectively (19.06±255) and (18.32±3.41), lower than those in the control group where the SAS was (27.24±4.27) and SDS was (28.16±487), and the difference was statistically significant (P<0.01). The heart rate in the observation group was (78.17±2.04)beats per minute and systolic pressure was (120.46±3.74)mmHg, both lower than the control group where the heart rate was (88.35±4.50)beats per minute and systolic pressure was (136.35±2.99)mmHg, with statistically significant difference (P<0.01). SCL-90-R showed that, scores of symptoms in the observation group, including anxiety, depression, paranoid ideation, obsessive-compulsive, psychomania, phobic anxiety, were lower than the those in the control group, and the difference was statistically significant (P<0.01). The treatment compliance rate of patients in the observation group was 91.80%, higher than that in the control group, and the difference was statistically significant (P<0.01). Conclusion: Empathy nursing intervention is with significant application value in the treatment of radical resection of rectal carcinoma during perioperative period, which can alleviate the patients’ anxiety, depression as well as other negative emotions, stabilize the patient's heart rate and systolic pressure, improve

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