CAJ | 학술논문

目的：探讨系统护理对肠梗阻患者心理负担的影响效果。方法选取2013年2月～2014年3月我院胃肠外科收治的120例肠梗阻患者为研究对象，采用随机分组方法将其分为观察组和对照组，每组60例。对照组采用常规护理方法进行护理，观察组采用系统护理方法进行护理，比较两组患者焦虑情绪、疼痛情况、抑郁状况、满意度及舒适度。结果观察组焦虑情绪和痛疼评分明显低于对照组，两组比较差异有统计学意义（P＜0.05）；观察组患者无抑郁和轻度抑郁患者均多于对照组，中度和重度抑郁患者均明显少于对照组，比较差异有统计学意义（P＜0.05）；观察组患者满意度和舒适度分别为96.67%、90.00%，明显高于对照组的83.33%和75.00%，两组比较差异有统计学意义（P＜0.05）。结论对肠梗阻患者采用系统护理，能明显减少患者焦虑情绪、抑郁发生，降低术后疼痛，增加患者满意度和舒适度，能帮助患者有效减轻心理负担，提高治疗效果，值得在临床中推广应用。
목적：탐토계통호리대장경조환자심리부담적영향효과。방법선취2013년2월～2014년3월아원위장외과수치적120례장경조환자위연구대상，채용수궤분조방법장기분위관찰조화대조조，매조60례。대조조채용상규호리방법진행호리，관찰조채용계통호리방법진행호리，비교량조환자초필정서、동통정황、억욱상황、만의도급서괄도。결과관찰조초필정서화통동평분명현저우대조조，량조비교차이유통계학의의（P＜0.05）；관찰조환자무억욱화경도억욱환자균다우대조조，중도화중도억욱환자균명현소우대조조，비교차이유통계학의의（P＜0.05）；관찰조환자만의도화서괄도분별위96.67%、90.00%，명현고우대조조적83.33%화75.00%，량조비교차이유통계학의의（P＜0.05）。결론대장경조환자채용계통호리，능명현감소환자초필정서、억욱발생，강저술후동통，증가환자만의도화서괄도，능방조환자유효감경심리부담，제고치료효과，치득재림상중추엄응용。
Objective To explore the effect of system nursing in psychological burden of patients with intestinal obstruction.Methods 120 patients with intestinal obstruction who were admitted to our hospital from February 2013 to March 2014 were selected as research subjects, and they were randomly divided into observation group and control group with 60 patients in each. The control group was treated with conventional nursing care, and the observation group was treated with system nursing care. Anxiety emotion, pain, depression, satisfaction and comfort level of two groups were compared.Results Scores of anxiety and pain of observation group were significantly lower than those of control group, and the difference was statistically significant (P<0.05). The number of patients without depression and with mild depression of observation group was larger than that of control group, and the number of patients with moderate and severe depression was significantly smaller than that of control group. The difference was statistically significant (P<0.05). The satisfaction level and comfort level of observation group were 96.67% and 90.00% respectively, which were significantly higher than 83.33% and 75.00% of control group. The difference was statistically significant (P<0.05).Conclusion System nursing in the treatment of patients with intestinal obstruction can significantly decrease patients' anxiety emotion, occurrence of depression, level of postoperative pain, and increase patients' satisfaction level and comfort level, which can help alleviate psychological burden effectively to improve curative effect. It is worthy of clinical promotion and application.