中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2014年
36期
147-148
,共2页
循证护理%开腹手术%结肠癌根治术%术前心理
循證護理%開腹手術%結腸癌根治術%術前心理
순증호리%개복수술%결장암근치술%술전심리
Evidence-based nursing%Laparotomy%Radical resection of colon cancer%Preoperative psychology
目的：探究循证护理在开腹结肠癌根治术患者术前心理中的效果评价。方法选取该院于2012年5月—2014年5月收治的行开腹根治术的结肠癌患者78例，将其随机分成循证组（39例)与常规组（39例)。循证组患者采用循证护理干预，给予常规组患者常规护理。对两组患者护理干预后的效果进行比较。结果循证组患者在术前的恐惧比例显著低于常规组（P<0.05)，恐惧程度在中度以上的比例显著低于常规组（P<0.05)，焦虑自评量表与抑郁自评量表的分数显著低于常规组（P<0.05)；循证组患者舒张压、收缩压显著低于常规组（P<0.05)，心率显著慢于常规组（P<0.05)。结论对开腹结肠癌根治术患者实施循证护理心理干预，可有效降低患者术前的焦虑恐惧心理，对保证患者在术前各项身体指标的平稳具有重要意义，值得临床推广与应用。
目的：探究循證護理在開腹結腸癌根治術患者術前心理中的效果評價。方法選取該院于2012年5月—2014年5月收治的行開腹根治術的結腸癌患者78例，將其隨機分成循證組（39例)與常規組（39例)。循證組患者採用循證護理榦預，給予常規組患者常規護理。對兩組患者護理榦預後的效果進行比較。結果循證組患者在術前的恐懼比例顯著低于常規組（P<0.05)，恐懼程度在中度以上的比例顯著低于常規組（P<0.05)，焦慮自評量錶與抑鬱自評量錶的分數顯著低于常規組（P<0.05)；循證組患者舒張壓、收縮壓顯著低于常規組（P<0.05)，心率顯著慢于常規組（P<0.05)。結論對開腹結腸癌根治術患者實施循證護理心理榦預，可有效降低患者術前的焦慮恐懼心理，對保證患者在術前各項身體指標的平穩具有重要意義，值得臨床推廣與應用。
목적：탐구순증호리재개복결장암근치술환자술전심리중적효과평개。방법선취해원우2012년5월—2014년5월수치적행개복근치술적결장암환자78례，장기수궤분성순증조（39례)여상규조（39례)。순증조환자채용순증호리간예，급여상규조환자상규호리。대량조환자호리간예후적효과진행비교。결과순증조환자재술전적공구비례현저저우상규조（P<0.05)，공구정도재중도이상적비례현저저우상규조（P<0.05)，초필자평량표여억욱자평량표적분수현저저우상규조（P<0.05)；순증조환자서장압、수축압현저저우상규조（P<0.05)，심솔현저만우상규조（P<0.05)。결론대개복결장암근치술환자실시순증호리심리간예，가유효강저환자술전적초필공구심리，대보증환자재술전각항신체지표적평은구유중요의의，치득림상추엄여응용。
Objective To evaluate the effect of evidence-based nursing on the preoperative psychology of patients underwent open radical resection of colon cancer. Methods 78 cases underwent open radical resection of colon cancer admitted in our hospital from May 2012 to May 2014 were selected and randomly divided into the evidence-based group(39 cases) and conventional group (39 cases). Patients in the evidence-based group were given evidence-based nursing intervention, and those in the conventional group were given the conventional nursing. And the nursing effect was compared between the two groups. Results Before operation, the proportion of patients with fear in the evidence-based group was much lower than that in the conventional group (P<0.05); the proportion of patients with over moderate fear in the evidence-based group was significantly lower than that in the conventional group(P<0.05);Self-Rating Anxiety Scale and Self-Rating Depression Scale scores were obviously lower than those in the conven-tional group(P<0.05);the diastolic blood pressure and systolic blood pressure were significantly lower than those of the convention-al group(P<0.05), heart rate was significantly slower than that of the conventional group(P<0.05). Conclusion For patients under-went open radical resection of colon cancer, the psychological intervention of evidence-based nursing can effectively reduce the preoperative anxiety and fear, which is of great significance in ensuring the physical indicators of patients be stable before opera-tion, so it is worthy of promotion and application.
