| 杨凤英 郭豫吉 金颖 王荣 郭晓东.胃癌患者术后生存质量与心理健康调查及干预效果探讨[J].,2014,14(21):4150-4152 |
| 胃癌患者术后生存质量与心理健康调查及干预效果探讨 |
| Investigation of Postoperative Life Quality and Mental Health of Patients withGastric Cancer and the Effects of Interventions |
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| DOI： |
| 中文关键词: 护理干预 胃癌 焦虑 抑郁 |
| 英文关键词: Intervention Gastric cancer Anxiety Depression |
| 基金项目:国家自然科学基金青年科学基金项目( 30901795） |
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| 中文摘要: |
| 目的：调查胃癌患者术后的生活质量及心理健康状况，探讨护理干预对胃癌患者术后恢复的积极意义，为胃癌的围术期护
理提供参考。方法：选取2009 年7 月-2012 年1 月在我院接受手术治疗的胃癌患者70 例，手术治疗方式根据患者的具体情况采
用肿瘤剔除术、近端胃切除、远端胃切除及胃大切除术等。按照术后所采取的护理方式，将所选病例分为干预组和对照组。观察并
比较两组患者治疗前后的焦虑、抑郁发生率及生活质量的评分变化。结果：对照组焦虑发生率为76.6%，抑郁发生率为83.3%；干
预组焦虑发生率为55%，抑郁发生率为50%。干预组患者焦虑及抑郁的发生率显著低于对照组患者(P<0.05)。两组患者治疗后的
生理机能、躯体疼痛、社会功能、情感功能及认知功能评分均比治疗前有所改善，干预组患者改善更明显，差异具有统计学意义
(P<0.05)。结论：护理干预不仅可以缓解胃癌患者术后出现的负面情绪，而且有利于改善患者术后的生存质量，值得在临床进一步
推广。 |
| 英文摘要: |
| Objective:To investigate the life quality and mental health of patients with gastric cancer after the operation, and to
discuss the effects of different interventions in order to make a reference.Methods:70 patients with gastric cancer who were accepted the
surgery in our hospital from July 2009 to January 2012, with the treatment of tumor movement, the proximal gastric resection, the distal
stomach or the total resection according to their actual circumstances, were selected and divided into the intervention group and the control
group. Then the incidences of the anxiety and the depression of patients in the two groups were scored and the postoperative life
quality was evaluated.Results:The incidence of anxiety and depression was 55% and 50% in the intervention group which was lower
than 76.6%and 83.3%in the control group, respectively (P<0.05). After the intervention, the scores of the physiology, the pain, the emotion,
the sociality and the cognition of patients in the two groups were improved than before, especially for the patients in the intervention
group (P<0.05).Conclusion:It is indicated that the nursing intervention should be promoted to release the anxiety and depression of patients
and improve the postoperative life quality. |
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