人文关怀护理对肝癌合并抑郁手术患者生活质量和负性情绪影响

The influence of humanistic care on the quality of life and negative emotion of patients with liver cancer and depression operation

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2020, 47(2)
作者
作者单位

河南省安阳市肿瘤医院 ;

摘要
目的:探讨肝癌合并抑郁手术患者重视人文关怀护理工作的开展对生活质量、负性情绪和预后的影响。方法:选择肝癌合并抑郁手术患者120例,均为我院2017年6月至2019年6月收治,采用数字表抽取法随机分组,就应用人文关怀护理模式(观察组,n=60)与应用常规护理模式(对照组,n=60)知信行评分、炎性因子和免疫功能指标水平、生活质量评分、焦虑抑郁评分、疼痛程度分级占比展开对比。结果:两组干预前,知信行各维度评分无差异(P>0.05),干预后,各项评测分值均有升高,且相较对照组,观察组升高程度更为显著,差异具有统计学意义(P<0.05)。两组干预前,炎性指标hs-CRP、IL-8水平及免疫功能指标CD3+、CD4+水平经测验无差异(P>0.05),干预后,炎性指标测验值均有降低,免疫功能指标测验值均有升高,差异具有统计学意义(P<0.05)。两组干预前,生活质量各维度评分无差异(P>0.05),干预后,心理功能、社会功能、躯体功能评测分值均有升高,症状反应评测分值均有降低,且相较对照组,观察组升高和降低程度更为显著,差异具有统计学意义(P>0.05)。两组干预前,焦虑、抑郁评分经评测无差异(P>0.05),干预后,评测分值均有降低,且相较对照组,观察组更为显著,差异具有统计学意义(P<0.05)。观察组疼痛程度分级占比情况优于对照组,差异具有统计学意义(P<0.05)。结论:肝癌合并抑郁手术患者重视人文关怀护理工作的开展,可改善知信行水平,降低机体炎性反应程度,增强免疫功能,提高生活质量,缓解焦虑抑郁情绪,减轻疼痛,开展价值显著。
Abstract
Objective: To explore the influence of humanistic care on quality of life, negative emotion and prognosis in patients with liver cancer and depression. Methods: a total of 120 patients with liver cancer and depression were randomly divided into two groups: the observation group (n = 60) and the control group (n = 60). The scores of knowledge, behavior, inflammatory factors and immune function, quality of life, anxiety and depression, pain, etc. were measured The proportion of pain grade was compared. Results: before the intervention, there was no difference between the two groups (P > 0.05). After the intervention, the scores of all dimensions of knowledge, belief and behavior were increased, and compared with the control group, the increase degree of the observation group was more significant, the difference was statistically significant (P < 0.05). Before intervention, there was no difference in the levels of hs CRP, IL-8, CD3 + and CD4 + between the two groups (P > 0.05). After intervention, the test values of inflammatory indexes decreased, and the test values of immune indexes increased (P < 0.05). Before intervention, there was no difference between the two groups (P > 0.05). After intervention, the scores of psychological function, social function and physical function increased, while the scores of symptom response decreased. Compared with the control group, the degree of increase and decrease in the observation group was more significant, and the difference was statistically significant (P > 0.05). Before intervention, there was no difference in anxiety and depression scores between the two groups (P > 0.05). After intervention, the scores of anxiety and depression in the two groups were decreased, and compared with the control group, the difference was more significant (P < 0.05). The proportion of pain grade in the observation group was better than that in the control group, the difference was statistically significant (P < 0.05). Conclusion: Patients with liver cancer and depression should pay attention to humanistic care, which can improve the level of knowledge, reduce the degree of inflammatory response, enhance the immune function, improve the quality of life, relieve anxiety and depression, relieve pain, and have significant value.
关键词
肝癌;抑郁;手术;人文关怀;知信行水平;生活质量;负性情绪
KeyWord
liver cancer; depression; operation; humanistic care; knowledge, trust and behavior level; quality of life; negative emotions
基金项目
页码 400-403
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张一红*. 人文关怀护理对肝癌合并抑郁手术患者生活质量和负性情绪影响 [J]. 国际精神病学杂志. 2020; 47; (2). 400 - 403.

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