四川精神卫生
四川精神衛生
사천정신위생
SICHUAN MENTAL HEALTH
2015年
3期
227-229
,共3页
肝癌%抑郁%焦虑%心理护理
肝癌%抑鬱%焦慮%心理護理
간암%억욱%초필%심리호리
Liver cancer%Depression%Anxiety%Psychological nursing
目的探讨心理护理对介入治疗围手术期肝癌患者焦虑、抑郁水平的影响。方法以2010年6月-2014年4月在成都市第二人民医院介入科确诊的40例肝癌患者为研究对象，按照是否接受心理护理分为干预组和对照组各20例。对照组给予常规护理和一般健康教育，遵医嘱给予止痛药物，干预组除了常规护理外，实施了6周的心理干预。采用抑郁自评量表（ SDS）和焦虑自评量表（ SAS）分别于干预前后测评两组的焦虑、抑郁水平。结果干预前两组SAS和SDS评分差异无统计学意义（P﹥0.05）；干预6周后，干预组SAS和SDS评分均较对照组低，差异有统计学意义（P﹤0.01）。同组治疗前后SAS和SDS评分比较差异均有统计学意义（P﹤0.01）。结论心理干预可能有助于缓解介入治疗围手术期肝癌患者的焦虑、抑郁症状。
目的探討心理護理對介入治療圍手術期肝癌患者焦慮、抑鬱水平的影響。方法以2010年6月-2014年4月在成都市第二人民醫院介入科確診的40例肝癌患者為研究對象，按照是否接受心理護理分為榦預組和對照組各20例。對照組給予常規護理和一般健康教育，遵醫囑給予止痛藥物，榦預組除瞭常規護理外，實施瞭6週的心理榦預。採用抑鬱自評量錶（ SDS）和焦慮自評量錶（ SAS）分彆于榦預前後測評兩組的焦慮、抑鬱水平。結果榦預前兩組SAS和SDS評分差異無統計學意義（P﹥0.05）；榦預6週後，榦預組SAS和SDS評分均較對照組低，差異有統計學意義（P﹤0.01）。同組治療前後SAS和SDS評分比較差異均有統計學意義（P﹤0.01）。結論心理榦預可能有助于緩解介入治療圍手術期肝癌患者的焦慮、抑鬱癥狀。
목적탐토심리호리대개입치료위수술기간암환자초필、억욱수평적영향。방법이2010년6월-2014년4월재성도시제이인민의원개입과학진적40례간암환자위연구대상，안조시부접수심리호리분위간예조화대조조각20례。대조조급여상규호리화일반건강교육，준의촉급여지통약물，간예조제료상규호리외，실시료6주적심리간예。채용억욱자평량표（ SDS）화초필자평량표（ SAS）분별우간예전후측평량조적초필、억욱수평。결과간예전량조SAS화SDS평분차이무통계학의의（P﹥0.05）；간예6주후，간예조SAS화SDS평분균교대조조저，차이유통계학의의（P﹤0.01）。동조치료전후SAS화SDS평분비교차이균유통계학의의（P﹤0.01）。결론심리간예가능유조우완해개입치료위수술기간암환자적초필、억욱증상。
Objective To explore the effect of the psychological nursing on the anxiety and depression levels for perioperative management of interventional therapy in liver cancer patients. Methods A retrospective analysis was conducted in 40 liver cancer pa=tients who were diagnosed ky the department of interventional medicine of Chengdu Second Pe opleˊs Hospital ketween the time period of June 2010 to April 2014,and the patients were divided to 20 patients of control group and 20 cases of study group kased on whether the psychological nursing intervention was conducted. The control group received normal nursing and general health education,while the study group received 6 weeds of psychological nursing intervention,in addition to the normal nursing practice. All the patients were e=valuated for depression and anxiety with Self-rating Depression Scale( SDS),Self-rating Anxiety Scale( SAS)at the kase line and 6 weeds after the intervention. Results The levels of SDS and SAS were not significantly different kefore the intervention(P﹥0. 05). While the scales of SDS,SAS were significantly lower in study group compared to those in control group after 6 weeds of intervention (P﹤0. 01). After the treatment,Each group shows significant difference compared with their kefore-treatment scales(P﹤0. 01). Conclusion Psychological nursing intervention could relieve the symptoms of depressive and anxious emotion during the perioperative management of interventional therapy in liver cancer patients.
