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腹腔镜结直肠癌根治术患者围手术期焦虑抑郁的个性化护理 预览 被引量:14

Individualized nursing care for patients with anxiety and depression after radical surgery for colorectal cancer under laparoseope
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摘要 目的探索个性化护理对腹腔镜结直肠癌根治术患者围术期焦虑抑郁的影响。方法选取86例2009年1月至12月于本院拟行腹腔镜结直肠癌根治术,抑郁自评量表和焦虑自评量表测评标准分≥50的患者,按人选顺序随机分为研究组和对照组各43例,对照组患者予一般围手术期常规护理和心理护理,研究组在对照组的基础上给予个性化护理干预,两组病例于术后第7天再次进行SAS、SDS测评,将所得数据经统计学分析。结果干预后,对照组SDS测评评分为(50.20±2.26)分,研究组为(45.70±3.96)分,两组比较差异有统计学意义(t=8.807,P〈0.01);对照组SAS测评评分为(49.55±3.39)分,研究组为(44.65±5.62)分,两组比较差异有统计学意义(t=11.476,P〈0.01)。结论通过个性化护理干预,明显减轻腹腔镜结直肠癌根治术患者围术期的焦虑抑郁,值得临床推广。 Objective To explore the influence of individualized nursing care on perioperative anxiety and depression in patients with coloreetal cancer undergoing radical surgery under laparoscope. Methods 86 patients with eolorectal cancer undergoing radical surgery under laparoscope at our hospital from January 2009 to December and whose evaluation standard scores of anxiety self-rating scale and depression self-rating scale were ≥ 50 scores were randomly divided into a study group (43 cases ) and a control group (43 cases ). The control group were given general routine perioperative care and psychological care; in addition, the study group received individualized nursing intervention. 7 days after the surgery, patients of both group were evaluated with SAS and SDS second time. All the data were statistically analyzed. Results After the intervention, the SDS and SAS scores were (50.20 ± 2.26) and (49.55 ± 3.39) in the control group and were (45.70 ± 3.96) and (44.65 ± 5.62) in the study group, respectively, with statistical differences (t = 8.807, P 〈0.01; t = 11.476, P 〈0.01). Conclusions Individualized nursing intervention can significantly reduce the anxiety and depression in patients with eoloreetal cancer undergoing radical surgery under laparoscope
作者 赵文卿 卢淑华 刘锦玲 曾秋娥 王小忠 洪玉芝 Zhao Wenqing, Lu Shuhua, Liu Jinling, Zeng Qiu'e, Wang Xiaozhong, Hong Yuzhi.( Department of Medical Oneology, Shantou Central Hospital, Shantou 515031, China)
出处 《国际医药卫生导报》 2015年第3期319-321,共3页 International Medicine & Health Guidance News
基金 汕头市重点科技计划项目(20097023)
关键词 个性化护理 腹腔镜 结直肠癌 围手术期 焦虑 抑郁 Individualized nursing care Laparoscope Colorectal cancer Perioperative period Anxiety Depression
作者简介 通信作者:卢淑华,E-mail:jzyzcq@163.com
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