摘要
目的:探讨人文关怀护理对直肠癌造瘘患者焦虑、抑郁情绪的影响。方法:选取本院2015年1月-2017年8月收治的低位直肠癌造瘘患者90例作为研究对象,根据不同的护理方法将其分为对照组和观察组,各45例。对照组给予常规护理,观察组给予人文关怀护理,比较两组入院前、术后7 d及出院前1 d的焦虑、抑郁程度、护理前后的自我护理能力和生活质量评分及术后并发症发生情况。结果:入院前两组SAS、SDS评分比较,差异均无统计学意义(P>0.05);术后7 d及出院前1 d,两组SAS、SDS评分与入院前比较均明显降低,且观察组均明显低于对照组,差异均有统计学意义(P<0.05)。护理前两组健康知识水平、自我概念、自我责任感、自我护理技能评分比较,差异均无统计学意义(P>0.05);护理后,两组各项自我护理能力评分与护理前比较均明显升高,且观察组均明显高于对照组,差异均有统计学意义(P<0.05)。观察组术后并发症发生率为4.44%明显低于对照组的20.00%,差异有统计学意义(字2=5.075 0,P=0.024 3)。护理后观察组精神健康、社会功能、精力、情感职能、躯体疼痛、生理职能、生理功能、总体健康评分均明显高于对照组,差异均有统计学意义(P<0.05)。结论:人文关怀护理可有效改善直肠癌造瘘患者不良情绪,提高自我护理能力,减少并发症,改善生活质量,值得临床推广。
Objective:To explore the influence of humanistic care on anxiety and depression of rectal cancer patients with fistulas.Method:A total of 90 cases of low rectal cancer with fistula admitted in our hospital from January 2015 August 2017 were selected as the research objects.According to different nursing methods,they were divided into control group and observation group,45 cases in each group.The control group was given routine nursing,the observation group was given humanistic care.The Anxiety and depression before admission,after operation 7 days and before discharge 1 day,self-care ability and quality of life scores before and after nursing and postoperative complication between the two groups were compared.Result:There were no significant differences in SAS and SDS scores between the two groups before admission(P >0.05).The scores of SAS and SDS in the two groups after operation 7 days and before discharge 1 day were significantly lower than those before admission,and the observation group were significantly lower than those in the control group,the differences were statistically significant(P<0.05).There were no significant differences in the scores of health knowledge level,self-concept,self-responsibility and self-nursing skills between the two groups before nursing(P >0.05).After nursing,the scores of self-nursing abilities in the two groups were significantly higher than those before nursing,and the observation group were significantly higher than those in the control group,the differences were statistically significant(P<0.05).The incidence of postoperative complications in the observation group was 4.44%,which was significantly lower than 20.00%in the control group,the difference was statistically significant(χ^2=5.075 0,P=0.024 3).After nursing,the scores of mental health,social function,energy,emotional function,physical pain,physiological role,physiological function and overall health of the observation group were significantly higher than those of the control group,the differences were statistically significant(P<0.05).Conclusion:Humanistic care can effectively improve the negative emotions of rectal cancer patients with fistula,improve self-care ability,reduce complications and improve the quality of life,it is worthy of clinical promotion.
作者
张旭
ZHANG Xu(Jingzhou Third People’s Hospital,Jingzhou 434000,China)
出处
《中国医学创新》
CAS
2019年第5期98-102,共5页
Medical Innovation of China
关键词
人文关怀
护理
直肠癌
造瘘患者
焦虑
抑郁情绪
Humanistic care
Nursing
Rectal cancer
Patients with fistula
Anxiety
Depression emotion
