CAJ | 학술논문

目的：探讨人性化护理干预对手术室行腹腔镜胃癌根治术患者的负性心理及生活质量的影响。方法选择我院2012年12月~2014年12月住院行腹腔镜胃癌根治术患者60例作为研究对象,根据随机数字表法随机分为对照组和观察组,每组30例。对照组采取常规护理干预。观察组在对照组基础上行人性化护理。结果两组SAS、SDS评分干预前比较差异无统计学意义(P>0.05)；干预后两组SAS、SDS评分均显著低于干预前,差异有统计学意义(t=9.234、8.638、7.742、6.752,P<0.05)；且观察组干预后SAS、SDS评分明显低于对照组,差异有统计学意义(t=6.342、5.238,P<0.05)。干预前两组患者生活质量躯体功能、角色功能、情绪功能、认知功能、社会功能各项评分比较差异无统计学意义(P>0.05)；干预后,两组生活质量的躯体功能、角色功能、情绪功能、认知功能、社会功能各项评分均较干预前显著提高,且观察组患者生活质量的躯体功能、角色功能、情绪功能、认知功能、社会功能各项评分达(50.21±5.62)分、(53.28±9.06)分、(52.15±3.65)分、(51.26±5.72)分、(50.35±3.41)分,显著高于对照组,差异具有统计学意义(t=3.632、3.216、4.742、3.725、6.386,P<0.05)。结论人性化护理能够显著改善手术室腹腔镜胃癌根治术患者的负性心理,从躯体功能、角色功能、情绪功能、认知功能、社会功能各方面提高患者的生活质量,使患者积极配合手术及护理,有利于患者术后的恢复。
목적：탐토인성화호리간예대수술실행복강경위암근치술환자적부성심리급생활질량적영향。방법선택아원2012년12월~2014년12월주원행복강경위암근치술환자60례작위연구대상,근거수궤수자표법수궤분위대조조화관찰조,매조30례。대조조채취상규호리간예。관찰조재대조조기출상행인성화호리。결과량조SAS、SDS평분간예전비교차이무통계학의의(P>0.05)；간예후량조SAS、SDS평분균현저저우간예전,차이유통계학의의(t=9.234、8.638、7.742、6.752,P<0.05)；차관찰조간예후SAS、SDS평분명현저우대조조,차이유통계학의의(t=6.342、5.238,P<0.05)。간예전량조환자생활질량구체공능、각색공능、정서공능、인지공능、사회공능각항평분비교차이무통계학의의(P>0.05)；간예후,량조생활질량적구체공능、각색공능、정서공능、인지공능、사회공능각항평분균교간예전현저제고,차관찰조환자생활질량적구체공능、각색공능、정서공능、인지공능、사회공능각항평분체(50.21±5.62)분、(53.28±9.06)분、(52.15±3.65)분、(51.26±5.72)분、(50.35±3.41)분,현저고우대조조,차이구유통계학의의(t=3.632、3.216、4.742、3.725、6.386,P<0.05)。결론인성화호리능구현저개선수술실복강경위암근치술환자적부성심리,종구체공능、각색공능、정서공능、인지공능、사회공능각방면제고환자적생활질량,사환자적겁배합수술급호리,유리우환자술후적회복。
Objective To discuss Effect of negative psychological and life quality of humanized nuring intervention in patients with laparoscopic radical gastrectomy in the operation room. Methods 60 patients in our hospital from December 2012 to December 2014 were Selected, who underwent laparoscopic radical gastrectomy for gastric cancer as the re-search objects, and they were randomly divided into control group and observation group, 30 cases in each group. Con-trol group received routine nursing intervention. The observation group received humanistic care on the basis of the control group. Results The SAS, SDS scores of two groups before the intervention were compared, the difference was not statistically significant(P>0.05); After intervention, the SAS, SDS scores of two groups were significantly lower than those before intervention, the difference was statistically significant (t=9.234, 8.638, 7.742, 6.752, P<0.05), and after the intervention, SDS, SAS scores of observation group were significantly lower than the control group, the difference was statistically significant(t=6.342, 5.238, P<0.05). Before the intervention, the quality of life of body function, role function, emotional function, cognitive function, social function scores of two groups were compared, with no significant difference(P>0.05); after the intervention, the quality of life of body function, role function, the emotional function, cognitive function, social function the scores of two groups were significantly higher, and quality of life of body func-tion, role function, the emotional function, cognitive function, social function scores of the observation group were (50.21±5.62), (53.28±9.06), (52.15±3.65), (51.26±5.72), (50.35±3.41) respectively, was significantly higher than that of the control group, the difference was statistically significant(t=3.632, 3.216, 4.742, 3.725, 6.386, P<0.05). Conclusion The nursing intervention can improve negative psychological of patients with gastric cancer, can improve the quality of life of body function, role function, emotional function, cognitive function, social function, so that patients can revieve oper-ation actively and is good for recover.