肺癌手术患者在围术期开展个性心理护理对其术前焦虑与术后恢复的影响分析

Analysis of the influence of personality psychological nursing on preoperative anxiety and postoperative recovery of patients with lung cancer undergoing operation during perioperative period

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2020, 47(1)
作者
作者单位

郑州大学第一附属医院 ;

摘要
目的:探讨针对肺癌手术患者在围术期重视施以个性心理护理对缓解术前焦虑及促进术后恢复进程的作用。方法:选取肺癌手术患者84例,均为我院2018年4月至2019年4月收治,应用随机数字表抽取法分组,就围术期重视施以个性心理护理(观察组,n=42)与施以常规护理(对照组,n=42)入科时及术前焦虑、抑郁程度,皮质醇水平,术后恢复指标,健康状况评分展开对比。结果:两组入科时,心理状况即焦虑、抑郁程度经测验无差异(P>0.05),干预后的术前,各指标测验值均有下降,且观察组下降程度更为明显,差异具有统计学意义(P<0.05)。两组入科时,血清皮质醇水平经测验无差异(P>0.05),干预后的术前,测验值明显下降,且观察组下降程度更为明显,差异具有统计学意义(P<0.05)。观察组术后离床活动时间、实施心电监控时间、引流时间经观察均少于对照组,差异具有统计学意义(P<0.05)。两组干预前,健康状况量表躯体、精力、睡眠、情感各维度评分经测验无差异(P>0.05),干预后各测验值均有降低,且观察组更为显著,差异具有统计学意义(P<0.05)。结论:针对肺癌手术患者在围术期重视施以个性心理护理,可减轻术前焦虑抑郁,改善情绪状况,缩短病程,利于健康状况的恢复。
Abstract
Objective: To explore the effect of personality psychological nursing on relieving preoperative anxiety and promoting the recovery process of patients with lung cancer during perioperative period. Methods: 84 patients with lung cancer who underwent operation were selected from April 2017 to April 2019 in our hospital. The patients were divided into two groups by random number table extraction method. They were given personality psychological nursing (observation group, n=42) and routine nursing (control group, n=42) during the perioperative period, anxiety, depression, cortisol level before and after operation. Rehabilitation indicators and health status scores were compared. Result: There was no difference between the two groups in the degree of anxiety and depression (P > 0.05). Before intervention, the test values of each index decreased, and the decrease of the observation group was more obvious, the difference was statistically significant (P < 0.05). There was no difference in serum cortisol level between the two groups at admission (P > 0.05). Before the intervention, the test value decreased significantly, and the observation group decreased more significantly, the difference was statistically significant (P < 0.05). The time of leaving bed, ECG monitoring and drainage in the observation group were less than those in the control group, and the difference was statistically significant (P < 0.05). Before the intervention, there was no difference in the scores of body, energy, sleep and emotion dimensions between the two groups (P > 0.05). After the intervention, the scores of each test decreased, and the observation group was more significant with statistical significance (P < 0.05). Conclusion: Attaching importance to personality psychological nursing during perioperative period for patients undergoing lung cancer surgery can alleviate preoperative anxiety and depression, improve emotional status, shorten the course of disease and facilitate the recovery of health status.
关键词
肺癌;个性心理护理;焦虑;恢复指标;健康状况
KeyWord
lung cancer; personality psychological nursing; anxiety; recovery indicators; health status
基金项目
页码 188-190
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陈艳红*. 肺癌手术患者在围术期开展个性心理护理对其术前焦虑与术后恢复的影响分析 [J]. 国际精神病学杂志. 2020; 47; (1). 188 - 190.

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