CAJ | 학술논문

目的：调查喉癌患者住院期间心理状态,探讨护理干预对喉癌患者住院期间心理状态的影响.方法采用非精神科住院患者心理状态评定量表(mental status scale in non-psychiatric settings,MSSNS),对90例喉癌患者入院时及护理干预后心理状态进行问卷调查和比较.结果患者入院时各因子及总分得分均高于常模(均P＜0．05),手术前除孤独因子外其他因子及总分得分均高于常模(均P＜0．05),出院前各因子及总分得分明显低于常模(均P＜0．05)；且出院前与入院时、手术前比较差异均有统计学意义(均P＜0．05).其中年龄＜50岁组的各因子及总分得分高于其他年龄组(P＜0．05).结论喉癌患者在入院后呈现不同程度的负性心理状态,采用针对性的护理干预,可以明显改善患者不良的心理状态.
목적：조사후암환자주원기간심리상태,탐토호리간예대후암환자주원기간심리상태적영향.방법채용비정신과주원환자심리상태평정량표(mental status scale in non-psychiatric settings,MSSNS),대90례후암환자입원시급호리간예후심리상태진행문권조사화비교.결과환자입원시각인자급총분득분균고우상모(균P＜0．05),수술전제고독인자외기타인자급총분득분균고우상모(균P＜0．05),출원전각인자급총분득분명현저우상모(균P＜0．05)；차출원전여입원시、수술전비교차이균유통계학의의(균P＜0．05).기중년령＜50세조적각인자급총분득분고우기타년령조(P＜0．05).결론후암환자재입원후정현불동정도적부성심리상태,채용침대성적호리간예,가이명현개선환자불량적심리상태.
Objective To investigate the psychological status of patients with laryngeal cancer and to dis-cuss effect of nursing intervention on laryngeal cancer patients during hospitalization.Methods Mental sta-tus scale in non-psychiatric settings(MSSNS)is used to make a questionnaire about psychological status for 90 patients with laryngeal cancer on admission and after nursing intervention.Results Compared with norm,the total scores when admission and the average scores of all factors of patients with laryngeal cancer were higher than those in patients with mental state norm(all P<0.05).Except for loneliness factor,other sub-scores and total scores before discharge were significantly lower than norm (all P<0.05),and there were statistical significance among group of before discharge and admission and preoperative (all P<0.05). The sub-scores and total scores in less than 50 years old group were higher than other age groups (P<0.05).Conclusion The patients of laryngeal cancer show different degree of negative psychological status after admission,corresponding nursing intervention can significantly improve the psychological sta-tus of patients.