摘要
目的探讨临床心理护理干预对消化道恶性肿瘤姑息治疗患者负性情绪及生命质量的影响.方法选取2013年6月至2018年6月湖北省天门市第一人民医院收治的100例消化道恶性肿瘤姑息治疗患者作为研究对象,使用随机数字表法将患者分为对照组核观察组各50例.对照组给予常规护理干预,观察组给予人本主义心理护理干预.采用汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)、生命质量测定量表(EORTC QLQ-C30)评定2组患者心理状态核生命质量,并对比干预前后上述指标差异.结果干预后,观察组HAMD、HAMA评分分别为(11.22±1.97)、(8.31±1.77)分,对照组分别为(14.58±2.16)、(9.35±2.49)分,2组比较差异有统计学意义(t=8.008,2.367,均P<0.05).干预后,观察组EORTC QLQ-C30量表中角色功能、情感功能、疲倦、疼痛、食欲丧失等维度及总分分别为(68.74±25.93)、(72.41±21.70)、(47.28±15.66)、(30.08±12.10)、(26.70±9.13)、(76.85±19.66)分,对照组分别为(57.42±26.35)、(62.16±21.52)、(56.44±14.90)、(37.25±15.18)、(30.44±9.30)、(67.93±20.75)分;观察组角色功能、情感功能、整体生命质量明显高于对照组,疲倦、疼痛、食欲丧失低于对照组,差异有统计学意义(t=1.999~2.950,均P<0.05).结论消化道恶性肿瘤姑息治疗患者存在明显的负性情绪,临床心理护理干预可有效缓解患者负性情绪,提高生命质量.
Objective To investigate the effect of clinical psychological nursing intervention on negative emotion and quality of life in patients with palliative treatment of digestive tract malignancies.Methods From June 2016 to June 2018,100 patients with palliative treatment of digestive tract malignancies admitted to the first people′s hospital of Tianmen city as subjects.According to the random number table,patients were divided into control group and observation group,with 50 in each group.The control group received routine nursing intervention and the observation group received clinical psychological nursing intervention.The Hamilton Depression Scale(HAMD),Hamilton Anxiety Scale(HAMA),and Quality of Life Measurement Scale(EORTC QLQ-C30)were used to assess the mental state and quality of life of patients,and the differences of the above indicators before and after intervention were compared.Results After intervention,the HAMD score and HAMA scores in the observation group were(11.22±1.97)and(8.31±1.77),those scores in the control group were(14.58±2.16)and(9.35±2.49),the difference was statistically significant(t=8.008,2.367,all P<0.05).After the intervention,the scores of role function,emotional function,fatigue,pain,appetite loss and overall quality of life in the observation group were(68.74±25.93),(72.41±21.70),(47.28±15.66),(30.08±12.10),(26.70±9.13)and(76.85±19.66);however,the socres mentioned above were(57.42±26.35),(62.16±21.52),(56.44±14.90),(37.25±15.18),(30.44±9.30),(67.93±20.75)in the control group.The scores role function,emotional function and overall quality of life were significantly increased in the observation group compared to the control group,while fatigue,pain and appetite loss scores were significantly decreased in the observation group compared to the control group(t=1.999-2.950,all P<0.05).Conclusions Patients with palliative treatment of digestive tract malignant tumors have obvious negative emotions.Clinical psychological nursing intervention can effectively alleviate negative emotions and improve quality of life.It can be used as an auxiliary method during palliative treatment of malignant tumors of digestive tract.
作者
杨少蓉
马国卫
殷刚
Yang Shaorong;Ma Guowei;Yin Gang(Venous Allocation Center,the First People′s Hospital of Tianmen City,Tianmen 431700,China;Department of Surgery,the First People′s Hospital of Tianmen City,Tianmen 431700,China)
出处
《中国实用护理杂志》
2019年第36期2864-2868,共5页
Chinese Journal of Practical Nursing
关键词
人本主义心理护理
负性情绪
生命质量
Clinical psychological nursing intervention
Negative emotion
Quality of life
