摘要
目的探究健康评估念下实施积极心理措施对直肠癌造口患者生活质量、自我护理能力及心理状态的影响。方法采用回顾性分析方法,以安徽省阜阳市人民医院2020年3月至2021年12月接受健康评估下积极心理措施干预的41例直肠癌造口患者作为观察组,选取同时期接受常规护理干预的41例直肠癌造口患者作为对照组。比较两组心理状态[病人健康问卷(PHQ-9)]、焦虑症筛查量表(GAD-7)、自我护理能力量表(ESCA)及生活质量综合评定量表评分。结果干预后,两组PHQ-9、GAD-7评分低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05)。干预后,两组健康知识水平、自我概念、自我责任、自我技能评分高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。干预后,两组心理功能、社会功能、物质生活、躯体功能评分高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论健康评估下实施积极心理措施能够改善直肠癌造口患者的心理状态,提高其自我护理能力及生活质量,具有积极作用。
Objective To explore the effect of positive psychological measures on quality of life,self-care ability and mental state of rectal cancer patients under the concept of health assessment.Methods A retrospective analysis method was used to select 41 patients with rectal cancer ostomy who received positive psychological intervention under health assessment from Fuyang People's Hospital in Anhui Province from March 2020 to December 2021 as the observation group,and 41 patients with rectal cancer ostomy who received routine nursing intervention during the same period as the control group.The psychological status of the two groups(health questionnaire depression scale-9 item[PHQ-9],generalized anxiety disorder-7[GAD-7],exercise self care ability[ESCA]and generic quality of life inventory-74)of the two groups were compared.Results After intervention,the scores of PHQ-9 and GAD-7 in the two groups were lower than before intervention,while those of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).After intervention,the health knowledge level,self-concept,self-responsibility,and self-skill scores of the two groups were higher than before intervention,while those of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).After intervention,the scores of psychological function,social function,material life,and physical function of the two groups were higher than before intervention,while those of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusion The implementation of positive psychological measures under the health assessment can improve the mental state of rectal cancer patients,improve their self-care ability and quality of life,and have a positive effect.
作者
朱姝
刘卉
王小娟
刘铮
ZHU Shu;LIU Hui;WANG Xiaojuan;LIU Zheng(Department of General Surgery,Fu Yang People’s Hospital,Anhui Province,Fuyang 236000,China)
出处
《中国医药导报》
CAS
2023年第21期163-166,共4页
China Medical Herald
基金
安徽省自然科学基金资助项目(2008085QH431)。
关键词
同质化医疗
新型实践积极心理措施
心理状态
自我护理能力
生活质量
Homogenous medical treatment
New practice and positive psychological measures
Psychological state
Self-care ability
Quality of life
