全程护理干预对胃癌根治术患者生存质量与焦虑抑郁症状的影响

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摘要目的探讨全程护理干预对胃癌根治术患者生存质量与焦虑抑郁症状的影响。方法选取我院2015年4月～2017年1月胃癌根治术患者80例，并根据随机数字表法分为观察组与对照组。对照组实施常规护理干预，观察组实施全程护理干预。比较两组护理满意度、手术操作时间、术后首次排气、排便时间、住院时间、干预前后患者生存质量与焦虑抑郁情况。结果观察组患者围术期护理满意度高于对照组，手术操作时间、术后首次排气、排便时间、住院时间短于对照组，差异有统计学意义（P＜0.05）。干预前，两组患者SAS、SDS、QOL评分结果比较，差异均无统计学意义（P＞0.05）；干预后两组患者的SAS、SDS评分均有所降低，QOL评分有所提高，与干预前比较，差异有统计学意义（P＜0.05）；观察组SAS、SDS评分均低于对照组，QOL评分高于对照组，差异有统计学意义（P＜0.05）。结论全程护理干预对胃癌根治术患者生存质量与焦虑抑郁症状的影响大，可有效缓解患者焦虑抑郁情绪，缩短手术操作时间，缩短术后胃肠功能恢复时间和住院时间，对提升患者生存质量和护理满意度意义重大，值得推广。

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	吴洁

关键词 ：全程护理干预, 胃癌根治术患者, 生存质量, 焦虑抑郁症状, 影响

Abstract：ObjectiveTo explore the efficacy of whole course nursing intervention on quality of life and anxiety and depression in patients with gastric cancer undergoing radical gastrectomy.Methods80 patients with gastric cancer in our hospital from April 2015 to January 2017 were selected and were divided into the observation group and the control group according to the random number table.The control group was given routine nursing intervention,while the observation group was given whole course nursing intervention.The nursing satisfication,the time of operative,first exhaust and defecation and hospitalization,quality of life and anxiety and depression states were compared between two groups.ResultsThe nursing satisfication in the observation group was higher than that in the control group,the time of operative,first exhaust and defecation and hospitalization were shorter than those in the control group,and the differences were statistically significant(P＜0.05).Before intervention,there were no significant differences among the scores of SAS,SDS and QOL in two groups(P＞0.05);after intervention,the scores of SAS and SDS in the two group were decreased,the score of QOL was increased,and compared with those before intervention,the differences were statistically significant(P＜0.05).And the scores of SAS and SDS in the observation group were lower than those in the control group,the score of QOL was higher than that in the control group,and the differences were statistically significant(P＜0.05).ConclusionThe effect of whole nursing intervention on the quality of life and anxiety and depression of patients with radical gastrectomy is effective in alleviating the anxiety and depression of patients,shortening the operation time and shortening the recovery time and hospitalization time of postoperative gastrointestinal function,and improving the quality of life and nursing satisfaction is significant and worthy of promotion.

Key words： Total nursing intervention Radical gastrectomy patients Quality of life Anxiety and depression symptoms

引用本文:

吴洁. 全程护理干预对胃癌根治术患者生存质量与焦虑抑郁症状的影响[J]. 中国当代医药, 2017, 24(23): 191-193.
WU Jie. Efficacy of whole course nursing intervention on quality of life and anxiety and depression in patients with gastric cancer undergoing radical gastrectomy. 中国当代医药, 2017, 24(23): 191-193.

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http://dangdaiyiyao.com/CN/ 或 http://dangdaiyiyao.com/CN/Y2017/V24/I23/191

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