CAJ | 학술논문

目的探讨心理护理在肾肿瘤伴下腔静脉瘤栓患者的围手术期中的作用。方法将患者分为两组，其中对照组行常规的心理护理和宣教，观察组为具有完整设计的经认知行为干预的心理护理组。对两组患者术前和术后焦虑反应发生率进行评估，对患者及家属的满意度进行统计，并根据临床资料及术后随访对两组患者的疗效进行比较。结果两组患者术前临床资料无明显差异；观察组患者术前及术后焦虑发生率较低(P<0.05)，患者及家属满意度高于对照组(P<0.05)；观察组患者术后12个月内疾病无进展率高于对照组(P<0.05)。结论对肾癌伴下腔静脉瘤栓患者围手术期采取积极有效的心理护理干预措施，可改善患者焦虑情绪，提高患者及家属的满意度，促进术后恢复。
목적탐토심리호리재신종류반하강정맥류전환자적위수술기중적작용。방법장환자분위량조，기중대조조행상규적심리호리화선교，관찰조위구유완정설계적경인지행위간예적심리호리조。대량조환자술전화술후초필반응발생솔진행평고，대환자급가속적만의도진행통계，병근거림상자료급술후수방대량조환자적료효진행비교。결과량조환자술전림상자료무명현차이；관찰조환자술전급술후초필발생솔교저(P<0.05)，환자급가속만의도고우대조조(P<0.05)；관찰조환자술후12개월내질병무진전솔고우대조조(P<0.05)。결론대신암반하강정맥류전환자위수술기채취적겁유효적심리호리간예조시，가개선환자초필정서，제고환자급가속적만의도，촉진술후회복。
Objective To explore the effect of psychological nursing on different patients with renal cell carcinoma (RCC)involved with inferior vena cava (IVC)tumor thrombus treated by nephrectomy and thrombectomy. Methods 6 9 patients were divided into control group and observation group.In ob-servation group,systematic psychological nursing with cognitive-behavioral interventions were per-formed.The incidence rates of anxiety in two groups were investigated and the satisfaction rates of treatment in two groups were evaluated.All patients were followed up within 1 2 months after opera-tion to investigate the progression-free survival rate. Results Compared with control group,there were lower incidence rates of anxiety in experimental group,and higher 1 2-month progression free survival rate and better satisfaction rate also occurred in experimental group. Conclusions System-atic psychological nursing care with cognitive-behavioral interventions can improve satisfaction rates of pa-tients,reduce incidence of anxiety symptoms in patients and after the treatment of patients with RCC associated with IVC tumor thrombus.Systematic psychological nursing care could improve the pa-tients'rehabilitation.