摘要
目的探讨针对性护理对骨肿瘤患者化疗期间焦虑、抑郁情绪及应对方式的影响情况。方法分析2012年2月~2016年1月西安市红会医院收治的150例骨肿瘤患者的临床资料,依据患者情绪应对方式不同进行分组,采用常规护理的对照组（70例）和采用针对性护理的针对性护理组（80例）。观察两组患者护理前后焦虑、抑郁情绪评分和社会支持评分情况。结果护理后对照组患者焦虑[（45.9±3.5）分]、抑郁情绪[（51.1±3.6）分]、客观支持[（12.1±2.0）分]、主观支持[（26.2±2.1）分]、支持利用度[（8.8±1.6）分]评分及社会支持总分[（47.1±2.9）分]均优于护理前[（54.6±3.7）、（55.4±4.2）、（10.1±1.9）、（23.3±2.2）、（7.7±2.0）、（44.0±2.6）分],差异均有统计学意义（P〈0.05）;护理后针对性护理组患者焦虑[（40.2±3.1）分]、抑郁情绪[（47.4±3.8）分]、客观支持[（13.8±2.1）分]、主观支持[（28.9±2.5）分]、支持利用度[（9.9±1.8）分]评分及社会支持总分[（49.9±3.0）分]均优于护理前[（55.1±3.9）、（56.0±4.4）、（9.9±2.0）、（24.0±2.3）、（7.8±1.9）、（44.2±2.8）分],差异均有统计学意义（P〈0.05）;针对性护理组患者护理后焦虑、抑郁情绪评分、客观支持、主观支持、支持利用度、社会支持总分均优于对照组（P〈0.05）。针对性护理组护理后并发症发生率（12.5%）低于对照组（35.7%）,差异有统计学意义（P〈0.05）。结论骨肿瘤患者化疗期间给予针对性护理措施,可以改善焦虑、抑郁情绪,降低护理后并发症,值得临床推广应用。
Objective To approach influence of anxiety, depressed emotion and coping style for bone tumour patients in the chemotherapy period by targeted nursing. Methods Clinical data of 150 cases with bone tumour in Red Cross Hospital of Xi＇an City from February 2012 to January 2016 were analyzed, which were divided into two groups by different emotional responses, patients of control group were given routine nursing（70 cases）, patients of targeted nursing group were given targeted nursing（80 cases）. The anxiety, depressed emotion and social support score of two groups were observed. Results The anxiety, depressed emotion, objective support, subjective support, supported availability score, and social support total score of two groups before nursing had no statistically significant difference（P 〉0.05）; the anxiety[（45.9 ±3.5） scores], depressed emotion [（51.1 ±3.6） scores], objective support [（12.1 ±2.0） scores], subjective support[（26.2±2.1） scores], supported availability [（8.8±1.6） scores] score, and social support total score [（47.1±2.9） scores] of the control group after nursing were better than those before treatment [（54.6 ±3.7）,（55.4 ±4.2）,（10.1±1.9）,（23.3±2.2）,（7.7±2.0）,（44.0±2.6） scores], the differences were statistical significance（P 〈0.05）; the anxiety [（40.2±3.1） scores], depressed emotion [（47.4 ±3.8） scores], objective support [（13.8 ±2.1） scores], subjective support [（28.9 ±2.5） scores], supported availability score [（9.9 ±1.8） scores], and social support total score [（49.9 ±3.0） scores] of the targeted nursing group after nursing were better than those before treatment [（55.1 ±3.9）,（56.0 ±4.4）,（9.9 ±2.0）,（24.0 ±2.3）,（7.8 ±1.9）,（44.2±2.8） scores], the differences were statistical significance（P 〈0.05）; scores of the anxiety, depressed emotion, objective support, subjective support, supported availability, and social support total of targeted nursing group after nursing were better than those of the control group（P〈 0.05）; the complications rate of targeted nursing group（12.5%） after nursing was lower than control group（35.7%）, the difference was statistical significance（P 〈0.05）. Conclusion Corresponding nursing measures during the period of chemotherapy can improve anxiety and depressed of patients with bone tumour, decrease the complication after chemotherapy, it is worthy of clinical application.
出处
《中国医药导报》
CAS
2016年第10期174-177,共4页
China Medical Herald
关键词
骨肿瘤
化疗期间
焦虑
抑郁
应对方式
Bone tumour
Chemotherapy period
Anxiety
Depressed
Coping style
