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心理护理干预应用于大肠癌造口患者中的临床效果

Clinical Effect of Psychological Nursing Intervention in Patients with Colorectal Cancer Undergoing Colostomy
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摘要 目的观察大肠癌造口患者接受心理护理干预取得的临床效果。方法将2018年4月至2019年4月到我院治疗的82例大肠癌患者随机分为观察组和对照组,平均41例。分别对两组患者按照常规护理和常规护理联合心理护理进行干预性指导,对经过不同护理之后两组患者的负面情绪、睡眠状况、生活质量、并发症、满意度等有关的指标进行统计和对比。结果①开展护理之前,两组患者的负面情绪差异无统计学意义(P>0.05),通过护理以后,观察组的负面情绪改善效果相比对照组更好(P<0.05)。②护理开展前两组患者的睡眠状况差异无统计学意义(P>0.05),护理后,观察组的睡眠状况改善效果比对照组更占优势(P<0.05)。③开展护理前两组患者的生活质量差异无统计学意义(P>0.05),经过护理后观察组的生活质量改善效果比对照组更占优势(P<0.05)。④经过护理观察组(5例,占比为12.20%)出现并发症的概率低于对照组(35例,占比为85.37%)(P<0.05)。⑤观察组(40例,占比为97.56%)护理之后患者对护理的满意评估高于对照组(35例,占比为85.37%)(P<0.05)。结论将心理护理应用在大肠造口患者的护理中,可以有助于实现对患者负面心理的调整,可实现改善患者睡眠状况和生活质量的目的,使患者的安全性大大提升,婴儿对护理的满意评估更加高效。 Objective To analyze and observe the clinical effect of psychological nursing intervention in patients with colorectal cancer stoma.Methods The research activities were carried out from April 2018 to April 2019,and 82 patients with colorectal cancer were selected for admission during this time period.According to the random number table grouping method,the patients were divided into two groups,and the number of patients in the control group and the observation group was 41.The patients in the control group were provided with nursing operations according to conventional methods,and the patients in the observation group were provided with psychological nursing intervention on the basis of the control group.Statistical and comparison of related indicators such as anxiety and depression,sleep quality,quality of life,complication rate and total satisfaction before and after different nursing care were conducted in the two groups of subjects.Results(1)There was no significant difference in anxiety and depression between the two groups before nursing(P>0.05).After nursing,the anxiety and depression in the observation group were better than those in the control group,with statistical difference(P<0.05).(2)There was no significant difference in sleep quality between the two groups before nursing(P>0.05),and after nursing,the improvement effect of sleep quality in the observation group was more prominent than that in the control group,with a statistical difference(P<0.05).(3)There was no significant difference in the quality of life between the two groups before nursing(P>0.05),and the quality of life in the observation group after nursing was better than that in the control group,with a statistical difference(P<0.05).(4)The observation group(5 cases,accounting for 12.20%)had significantly lower complication rates than the control group(15 cases,accounting for 36.59%),with a statistically significant difference(P<0.05).(5)The observation group(40 cases,accounting for 97.56%)patients'total satisfaction with nursing was significantly higher than that of the control group(35 cases,accounting for 85.37%),with a statistical difference(P<0.05).Conclusion The application of psychological nursing in the nursing of patients with colostomy can help to adjust the negative psychology of patients,improve the quality of sleep and quality of life of patients,reduce the incidence of postoperative complications and improve patient total satisfaction.
作者 王艳雪 WANG Yanxue(Liaoyang Central Hospital,Liaoyang 111000,China)
机构地区 辽阳市中心医院
出处 《中国医药指南》 2022年第20期70-73,共4页 Guide of China Medicine
关键词 心理护理干预 大肠癌造口 焦虑 抑郁 生活质量 总满意度 Psychological nursing intervention Colorectal cancer stoma Anxiety Depression Quality of life Total satisfaction
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