CAJ | 학술논문

目的：分析青年女性肺癌患者的心理问题并观察采取循证护理实践后的效果。方法选取2011年1月至2012年12月收治的38例青年女性肺癌患者应用循证护理方法进行护理，采用Zung抑郁自评量表、焦虑自评量表及自制影响因素表评价患者循证护理干预前后的得分并进行比较。结果护理干预后焦虑评分、抑郁评分均低于干预前，差异均有统计学意义(P<0.05)；同时家庭因素的影响、自我形象的维护等明显影响患者心理状态的问题，通过循证护理实践得到有效改善。结论循证护理实践能够有效改善女性肺癌患者的焦虑抑郁和恐惧，对提高自信，改变对自身价值的认识，积极配合治疗提高临床治疗效果有重要意义。
목적：분석청년녀성폐암환자적심리문제병관찰채취순증호리실천후적효과。방법선취2011년1월지2012년12월수치적38례청년녀성폐암환자응용순증호리방법진행호리，채용Zung억욱자평량표、초필자평량표급자제영향인소표평개환자순증호리간예전후적득분병진행비교。결과호리간예후초필평분、억욱평분균저우간예전，차이균유통계학의의(P<0.05)；동시가정인소적영향、자아형상적유호등명현영향환자심리상태적문제，통과순증호리실천득도유효개선。결론순증호리실천능구유효개선녀성폐암환자적초필억욱화공구，대제고자신，개변대자신개치적인식，적겁배합치료제고림상치료효과유중요의의。
Objective To analyze the effect of evidence-based nursing practice on the psychological prob-lems of young female patients with lung cancer. Methods From January 2011 to December 2012, 38 young female patients with lung cancer received evidence-based nursing practice. Zung Self Rating Deression Scale (SDS), Self Rat-ing Anxiety Scale (SAS) and self-made impact scores were used to evaluate the efficacy of evidence-based nursing practice. Results SDS and SAS significantly decreased after intervention, and there were significant differences com-pared with those before intervention (P<0.05). Psychoiogical status affected by family and self-image was significant-ly improved by the intervention of evidence-based nursing practice. Conclusion The evidence-based nursing prac-tice could have great effect to improve anxiety, depression and fear, to increase self-confidence and to understand per-sonal worth correctly in young female patients with lung cancer. And it is also conducive to obtaining good coopera-tion to the treatment.