摘要
目的分析基于坚强概念的心理干预对食管癌手术患者负性情绪和希望水平的影响。方法选取90例食管癌手术患者的临床资料进行回顾性分析,将给予常规护理措施的45例患者作为对照组,将给予基于坚强概念的心理干预措施的45例患者作为观察组。比较两组患者护理干预前后的焦虑抑郁评分、生活质量以及希望水平。结果护理干预前,观察组和对照组患者的焦虑、抑郁评分比较,差异均无统计学意义(P﹥0.05);护理干预后,观察组患者的焦虑和抑郁评分均明显低于对照组患者(P﹤0.01)。护理干预前,观察组和对照组患者的消化功能、精神心理、躯体功能、社会活动评分及生活质量总分比较,差异均无统计学意义(P﹥0.05)。护理干预后,观察组患者的消化功能、精神心理、躯体功能、社会活动评分及生活质量总分均明显高于对照组患者(P﹤0.01)。护理干预后,观察组患者的希望水平明显优于对照组患者(P﹤0.01)。结论基于坚强概念的心理干预能够有效地改善食管癌手术患者的焦虑、抑郁等负性情绪,提高患者的生活质量和希望水平,值得临床推广应用。
Objective To analyze the effect of psychological intervention based on strong concept on negative emotion and hope level in esophageal cancer patients.Method The clinical data of90patients undergoing esophageal cancer surgery were retrospectively analyzed.Forty-five patients treated with routine care measures were assigned to control group and45patients treated with the psychological intervention based on strong concept were assigned to the observation group.To compare the anxiety and depression scores,quality of life and the level of hope between the two groups before and after nursing intervention.Result Before nursing intervention,there was no significant difference in the anxiety and depression scores between the two groups(P>0.05).After nursing intervention,the anxiety and depression scores of patients in observation group were all significantly lower than those of patients in control group(P<0.01).Before nursing intervention,there was no significant difference in the scores of digestive function,mental,physical functions,social activities and quality of life between the two groups(P>0.05).After nursing intervention,the digestive function,mental,physical functions,social activities and quality of life of patients in observation group were all significantly higher than those of patients in control group(P<0.01).After nursing intervention,the hope level of patients in observation group were significantly better than those of patients in control group(P<0.01).Conclusion Psychological intervention based on strong concept can effectively improve esophageal cancer patients with anxiety,depression and other negative emotions,improve patient’s quality of life and hope level,which is worth to promote the clinical application.
作者
张丽
张若琳
张天竹
杨珊珊
ZHANG Li;ZHANG Ruolin;ZHANG Tianzhu;YANG Shanshan(Department of Neurology, the First Affiliated Hospital of Harbin Medical University, Harbin 150001, Heilongjiang, China)
出处
《癌症进展》
2018年第14期1804-1806,1814,共4页
Oncology Progress
关键词
坚强概念
心理干预
食管癌
负性情绪
希望水平
strong concept
psychological intervention
esophageal cancer
negative emotions
hope level
