摘要
目的:分析以应激系统理论指导的护理干预对食管癌术后患者心理和生活质量的改善效果。方法:选择2019年7月—2022年8月徐州市中心医院收治的72例行胸腹腔镜下食管癌根治术患者作为研究对象,通过随机数表法分为两组,各36例。对照组实施常规护理模式,研究组实施以应激系统理论指导的护理干预。比较两组干预前后的心理状态[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、生活质量[采用癌症患者生活质量量表(EORTC QLQ-C30)]及护理满意度对两组患者进行评估比较。结果:护理后,两组SAS评分、SDS评分低于护理前,且研究组SAS评分、SDS评分均低于对照组,差异有统计学意义(P<0.05)。护理后,两组躯体功能、角色功能、认知功能、情绪功能、社会功能评分均高于护理前,且研究组均高于对照组,差异有统计学意义(P<0.05)。研究组护理总满意度显著高于对照组,差异有统计学意义(P<0.05)。结论:以应激系统理论为指导的护理干预可显著提高食管癌根治术后患者的心理健康和生活质量,有效提升了护理满意度。
Objective:To analyze the improvement effect of nursing intervention under the guidance of stress system theory on the psychology and quality of life of postoperative patients with esophageal cancer.Method:A total of 72 patients undergoing radical resection of esophageal cancer under thoracic laparoscopy admitted to Xuzhou Central Hospital from July 2019 to August 2022 were selected as the study objects and they were divided into two groups by random number table method,with 36 cases in each group.The control group implemented the routine nursing mode,and the research group implemented the nursing intervention guided by stress system theory.The psychological status[self-rating anxiety scale(SAS),self-rating depression scale(SDS)],quality of life[European organization for research and treatment of cancer quality of life questionnaire core 30(EORTC QLQ-C30)]before and after the intervention and nursing satisfaction of the two groups were compared.Result:After nursing,SAS and SDS scores of the two groups were lower than those before nursing,and SAS and SDS scores of the research group were lower than those of the control group,the differences were statistically significant(P<0.05).After nursing,the scores of physical function,role function,cognitive function,emotional function and social function in both groups were higher than those before nursing,and the scores in the research group were higher than those in the control group,the differences were statistically significant(P<0.05).The total satisfaction of nursing in the research group was significantly higher than that in the control group,the difference was statistically significant(P<0.05).Conclusion:Nursing intervention under the guidance of stress system theory can significantly improve the mental health and quality of life of patients after radical resection of esophageal cancer,and effectively improve nursing satisfaction.
作者
石海燕
刘翠
SHI Haiyan;LIU Cui(Xuzhou Central Hospital,Xuzhou 221009,China;不详)
出处
《中外医学研究》
2024年第7期87-90,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
应激系统理论
护理
食管癌
心理状态
生活质量
Stress system theory
Nursing
Esophageal cancer
Psychological state
Quality of life
