| 王婷 耿伟 肖波 王培芹 郭晓东.中晚期直肠癌患者的心理压力调查及干预措施探讨[J].,2014,14(18):3539-3541 |
| 中晚期直肠癌患者的心理压力调查及干预措施探讨 |
| Investigation and Analysis on the Psychological Health of Patients withAdvanced Rectal Cancer |
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| DOI： |
| 中文关键词: 中晚期直肠癌 心理问题 干预方法 |
| 英文关键词: Advanced rectal cancer Psychological obstacles Interventions |
| 基金项目:国家自然科学基金青年科学基金项目(30901795） |
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| 中文摘要: |
| 目的：分析中晚期直肠癌患者的心理健康情况，探讨改善患者心理应激的干预措施，为直肠癌的临床护理工作提供可借鉴
的方法。方法：选取2009 年1 月-2013 年1 月在我院接受治疗的中晚期直肠癌患者89 例作为研究对象，随机分为两组。其中，对
照组42 例患者采用常规护理模式，而干预组47 例患者在此基础上接受健康指导。分别于干预前后对患者的心理健康状况及生
存质量进行问卷调查，比较并分析调查结果。结果：实施护理干预前，两组患者各项评分无显著差异(P>0.05)；实施护理干预后，两
组患者的心理健康评分均有所改善，差异具有统计学意义(P<0.05)。干预组患者接受健康指导后的各项指标评分均显著优于对照
组患者，差异具有统计学意义(P<0.05)。两组患者干预后的生理机能、社会功能及情感功能评分均获得提高，但干预组患者效果更
为明显，差异具有统计学意义(P<0.05)。结论：中晚期直肠癌患者的心理压力对预后产生消极影响，医护人员应积极对患者进行心
理疏导，帮助其积极配合治疗，从而获得良好的疗效。 |
| 英文摘要: |
| Objective:To analyze the mental health of patients with advanced rectal cancer and to explore the interventions which
could improve patients' mental stress in order to make a reference for clinical nursing.Methods:89 patients with advanced rectal cancer
who were treated in our hospital from January 2009 to 2013 were selected and randomly divided into two groups. The patients in the
control group were treated by the conventional nursing method, while the patients in the intervention group were treated by the mental
health education besides the conventional nursing. Then a questionnaire was designed to investigate the objects in the two groups in
terms of the psychological problems such as the anxiety, depression, paranoid, etc., and the results were collected and analyzed.Results:There was no statistically significant difference of patients in the two groups before the intervention (P>0.05). After the intervention, the
scores of mental health of patients in the two groups were improved (P<0.05). The scores of patients in the intervention group who have
received the health guidance were better than those of the control group with statistically significant differences (P<0.05). The scores of
the physiology, the pain, the emotion, the sociality and the cognition of patients in the two groups were improved than before, especially
for the patients in the intervention group with statistically significant differences (P<0.05).Conclusion:It is suggested that the mental
factors have effects on the prognosis of patients with advanced rectal cancer. Therefore, we should take the responsibility of enhancing
the self-confidence of patients and help themget rid of the mental obstacles so as to obtain better clinical effects. |
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