摘要
目的探讨个体化护理对宫颈癌患者术后不良情绪及应激反应的影响。方法选取2015年2月至2017年2月间北京积水潭医院收治的128例宫颈癌患者,采用随机数表法分为观察组与对照组,每组64例。观察组患者常规基础护理基础上加用个体化护理,对照组患者采用常规基础护理。采用汉密尔顿抑郁量表(HAMD)和汉密尔顿焦虑量表(HAMA)评价患者术后不良情绪,根据手术前后体温、心率和血压变化评估患者术后应激状态。结果观察组患者HAMD和HAMA评分均低于对照组患者,差异均有统计学意义(均P<0.05)。两组患者术前体温、心率和血压比较,差异无统计学意义(P>0.05);两组患者术后的体温、心率和血压均有变化,且观察组患者变化程度明显小于对照组患者,差异均有统计学意义(均P<0.05)。术前1h、术中和术后1h,观察组患者去甲肾上腺素和肾上腺素的变化程度均小于对照组患者,差异均有统计学意义(均P<0.05)。结论个性化护理干预可使宫颈癌患者的心理状况明显改善,术后不良情绪及不良应激状况明显减少,值得临床推广应用。
Objective To observe the effects of individualized care on postoperative adverse emotional and stress response in patients with cervical cancer. Methods From February 2015 to February2017,128 patients with cervical cancer treated at Beijing Jishuitan Hospital were selected. Using the random number table method,patients were divided into an observation group and a control group with 64 patients in each group. The observation group received individualized nursing care based on the conventional primary care and the control group received conventional primary care. Hamilton anxiety scale（ HAMA） and Hamilton depression scale（ HAMD） were used to assess postoperative bad mood. Postoperative stress status was evaluated by the changes in body temperature,heart rate and blood pressure. Results The HAMA and HAMD scores were lower in the observation group than in the control group（ all P〈0. 05）. There was no obvious difference in preoperative body temperature,heart rate and blood pressure between two groups（ P〈0. 05）. After nursing,changes were found in postoperative body temperature,heart rate and blood pressure in the two groups with the changes less in the observation group than in the control group（ P〈0. 05）. The changes of noradrenaline and adrenalin were less in the observation group than in the control group at 1 h before the surgery,during the surgery and at 1 h after the surgery（ P〈0. 05）. Conclusion Individualized nursing can improve psychological condition and reduce postoperative bad mood stress response in patients with cervical cancer which is worth to be widely applied.
出处
《中国肿瘤临床与康复》
2018年第2期190-193,共4页
Chinese Journal of Clinical Oncology and Rehabilitation
基金
北京市医管局重点医学发展项目杨帆计划(ZYLX201476)
关键词
个体化护理
宫颈肿瘤
不良情绪
应激反应
Individualized care
Cervical neoplasms
Postoperative bad mood
Stress re-sponse
