摘要
目的 探讨心理疏导与阶段性康复护理联合用于胆囊癌患者对其情绪状态、并发症影响。方法 回顾性选取2022年5月—2023年5月中山大学肿瘤防治中心收治的86例胆囊癌患者的临床资料,根据护理方法的不同分为两组。对照组(43例)实施常规护理,观察组(43例)实施心理疏导+阶段性康复护理。分析两组患者情绪状态、术后并发症、生活质量。结果 干预后,观察组的汉密尔顿焦虑量表、汉密尔顿抑郁量表评分为(7.26±1.24)分、(8.16±2.29)分,低于对照组的(15.15±2.54)分、(16.95±3.36)分,差异均有统计学意义(t=7.025,4.995;P均<0.05);观察组术后并发症总发生率为4.65%(2/43),低于对照组的18.60%(8/43),差异有统计学意义(χ^(2)=4.074,P<0.05);干预后,观察组生活质量指数评分为(6.72±1.50)分,高于对照组的(6.00±1.36)分,差异有统计学意义(t=2.332,P<0.05)。结论 胆囊癌患者同时行心理疏导和阶段性康复护理干预,可帮助患者减轻心理压力,预防并发症,明显提高生活质量。
Objective To explore the effect of psychological counseling combined with phased rehabilitation nursing on the emotional state and complications of gallbladder cancer patients.Methods The clinical data of 86 patients with gallbladder cancer admitted to Sun Yat-sen University Cancer Center from May 2022 to May 2023 were retrospectively selected,and they were divided into two groups according to different nursing methods.The control group(43cases) received routine nursing,and the observation group(43 cases) received psychological counseling + staged rehabilitation nursing.The improvement of emotional state,postoperative complications and quality of life of the two groups were analyzed.Results After intervention,the scores of Hamilton Anxiety Scale and Hamilton Depression Scale in the observation group were(7.26±1.24) points and(8.16±2.29) points,which were lower than those in the control group(15.15±2.54) points and(16.95±3.36) points,and the differences were statistically significant(t=7.025,4.995;P<0.05);the total incidence of postoperative complications in the observation group was 4.65 %(2/43),which was lower than 18.60%(8/43) in the control group,and the difference was statistically significant(χ^(2)=4.074,P<0.05).After intervention,the quality of life index score of the observation group was(6.72±1.50) points,which was higher than that of the control group(6.00±1.36) points,and the difference was statistically significant(t=2.332,P<0.05).Conclusion In patients with gallbladder cancer,psychological counseling and phased rehabilitation nursing intervention can help patients effectively alleviate negative emotions,reduce complications,and significantly improve the quality of life.
作者
潘淇
张韵儿
韩远霞
PAN Qi;ZHANG Yuner;HAN Yuanxia(Department of Pancreatic and Biliary Surgery,Cancer Center,Sun Yat-sen University,Guangzhou,Guangdong,510555,China)
出处
《中外医疗》
2024年第33期171-174,共4页
China & Foreign Medical Treatment
关键词
胆囊癌
心理疏导
阶段性康复
情绪状态
Gallbladder cancer
Psychological counseling
Stage rehabilitation
Emotional state
