CAJ | 학술논문

目的：探讨围术期心理干预在直肠癌择期手术患者中的应用效果。方法将60例择期直肠癌手术患者随机分为观察组和对照组，对照组采用常规护理，观察组在对照组的基础上加强心理干预，比较2组患者的心理状态及术后恢复情况。结果观察组患者麻醉前的焦虑评分显著低于对照组，术前的积极应对评分显著高于对照组，消极应对评分显著低于对照组（P ＜0.05）；观察组术后并发症显著少于对照组，疼痛评分低于对照组，住院时间显著短于对照组（P ＜0.05）。结论围术期心理护理有利于提高直肠癌患者的手术信心，减少术后疼痛，促进身体康复。
목적：탐토위술기심리간예재직장암택기수술환자중적응용효과。방법장60례택기직장암수술환자수궤분위관찰조화대조조，대조조채용상규호리，관찰조재대조조적기출상가강심리간예，비교2조환자적심리상태급술후회복정황。결과관찰조환자마취전적초필평분현저저우대조조，술전적적겁응대평분현저고우대조조，소겁응대평분현저저우대조조（P ＜0.05）；관찰조술후병발증현저소우대조조，동통평분저우대조조，주원시간현저단우대조조（P ＜0.05）。결론위술기심리호리유리우제고직장암환자적수술신심，감소술후동통，촉진신체강복。
Objective To explore the effect of psychological intervention of perioperation period in patients with rectal cancer operation.Methods 60 rectal cancer patients with selective operation were randomly divided into observation group and control group.The control group was given routine nursing in perioperation period and the observation group was received psychological intervention based on the treatment in the control group.Psychology and the recovery state be-tween the two groups were compared after operation.Results Anxiety score before anesthesia in the observation group was significantly lower than that in the control group,the preoperative posi-tive coping scores were significantly higher than that in the control group,negative coping scores were significantly lower than that in the control group (P <0.05).Complications after operation in the observation group was significantly less than that in the control group,the postoperative complications and pain scores were lower than that in the control group,the hospitalization time was significantly shorter than that in the control group (P <0.05).Conclusion Psychological in-tervention in perioperative period is beneficial to improve confidence of the rectal cancer operation, reduce postoperative pain and promote physical rehabilitation.