CAJ | 학술논문

目的：了解心理干预对胃癌患者负性情绪、睡眠及预后的影响。方法将病人随机分成2组，干预组采用全程介入心理干预，对照组采用常规心理护理。分别采用焦虑自评量表、抑郁自评量表、睡眠时间、数字评分表对比分析两组患者干预前后负性情绪、睡眠、疼痛及存活率情况。结果实施干预后，干预组患者焦虑与抑都评分均低于对照组（P＜0.01），睡眠时间长于对照组（P＜0.05），疼痛评分低于对照组（P＜0.05）；干预组一年、三年、五年存活率高于对照组（P＜0.05）。结论全程介入心理干预可以降低胃癌手术患者的负性情绪、延长患者睡眠时间、减轻患者疼痛，及提高患者远期存活率。
목적：료해심리간예대위암환자부성정서、수면급예후적영향。방법장병인수궤분성2조，간예조채용전정개입심리간예，대조조채용상규심리호리。분별채용초필자평량표、억욱자평량표、수면시간、수자평분표대비분석량조환자간예전후부성정서、수면、동통급존활솔정황。결과실시간예후，간예조환자초필여억도평분균저우대조조（P＜0.01），수면시간장우대조조（P＜0.05），동통평분저우대조조（P＜0.05）；간예조일년、삼년、오년존활솔고우대조조（P＜0.05）。결론전정개입심리간예가이강저위암수술환자적부성정서、연장환자수면시간、감경환자동통，급제고환자원기존활솔。
Objective To investigate the effect of psychological intervention on negative emotion ,sleep in patients with gastric cancer and prognosis . Methods Patients were randomly divided into 2 groups ,the intervention group 40 psychological intervention group and 40 in non-intervention .The two groups of patients were performed operation ,chemotherapy and other conventional treatment .The control group received the routine nursing mode ,nursing , intervention group received psychological intervention based on routine nursing mode .Comparison of two groups of patients before and after the intervention of negative mood ,sleep ,pain and variation of survival rate .Results After the intervention the intervention group patients with anxiety and inhibition of all scores were lower than the control group .The intervention group than in the control group of sleep time increased significantly .But the intervention group than in control group significantly reduced pain scores .Significantly increase the survival rate of group intervention .There are significant differences (P<0.05) .Conclusion The psychological intervention can reduce negative emotion of patients with gastric cancer undergoing operation ,increase the sleep time of patients and reduce the pain of patients ,improve patient survival .