早期康复护理对老年胃癌手术患者负性情绪和依从性的影响分析

Influence of early rehabilitation nursing for elderly patients with gastric surgery negative emotion and compliance

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2017, 44(2)
作者
作者单位

北京积水潭医院 ;
北京大学第一医院 ;

摘要
【摘要】目的:研究使用早期康复护理对老年胃癌手术患者负性情绪、依从性的影响,以提高胃癌患者生活质量。方法:实验选取2013年1月~2015年7月我院60岁以上胃癌患者共72例为研究对象,计算机随机分为两组。对照组给予围手术期常规护理,实验组给予胃癌围手术期早期康复护理。对比观察两组患者术前术后健康信念、希望水平、特质应对方式、治疗运动等依从性。结果:实验组老年胃癌患者围手术期并发症共15例,对照组共21例,实验组低于对照组(p<0.05);实验组患者健康信念各维度所占比例(91.67%、83.33%、91.67%)较高,希望水平评分较高(37.19±4.37),特质应对方式中积极应对为38.91±4.98分,消极应对为21.09±6.11分,实验组患者治疗依从性优良比例(88.89%)高,患者运动依从性评分高(38.22±8.21分),与对照组比较存在p<0.05。结论:对60岁以上老年胃癌患者提供围手术期早期康复护理能够降低患者的负性情绪,提高患者的治疗运动依从性,改善生活质量,值得应用。
Abstract
【Abstract】Objective: To study the use of early rehabilitation nursing for elderly patients with gastric surgery negative emotion, compliance effects, in order to improve the quality of life of patients with gastric cancer. Methods: Select January 2013 ~ July 2015 in our hospital patients over 60 years a total of 72 cases of gastric cancer for the study, a computer randomly divided into two groups. The control group received routine perioperative care, the experimental group received gastric surgery around early rehabilitation nursing period. Compare the two groups were observed before and after surgery health beliefs, desired level, coping style, therapeutic exercise adherence. Results: The experimental group of elderly patients with gastric cancer perioperative complications in 15 cases, a total of 21 cases in the control group, the experimental group than the control group (p <0.05); belief in the experimental group were healthy proportion of each dimension (91.67%, 83.33% , 91.67%) was higher, hoping to score a higher level (37.19 ± 4.37), coping style in a positive response was 38.91 ± 4.98 points, a negative response was 21.09 ± 6.11 points, the experimental group, the proportion of patients with good treatment compliance (88.89%) high compliance rates of patient motion high (38.22 ± 8.21 points), compared with control group exists p <0.05. Conclusions: Elderly patients over 60 years of early gastric provide around-operative rehabilitation care patients can reduce negative emotions, improve patient compliance campaign to improve the quality of life, it is worth the application.
关键词
【关键词】胃癌;护理;康复护理;老年;负性情绪;依从性
KeyWord
【Key Words】Gastric cancer; care; rehabilitation care; elderly; negative emotion; compliance
基金项目
页码 355-358
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王萌萌*,何培. 早期康复护理对老年胃癌手术患者负性情绪和依从性的影响分析 [J]. 国际精神病学杂志. 2017; 44; (2). 355 - 358.

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