【摘要】 目的观察评价心理护理干预对胃癌术后化疗患者人格特征及生活质量的影响。方法以2008年3月至2011年5月间收治的120例胃癌术后化疗患者为研究对象,将120例患者随机分为观察组和对照组,每组60例。对照组给予常规护理,观察组在此基础进行心理护理干预,具体措施包括建立良好的护患关系、心理认知干预、环境支持干预、情形转移干预、集中心理干预等。6个月后对两组患者的人格特征、焦虑抑郁情况和生活质量进行评价与比较。结果观察组干预后艾森克人格问卷(EPQ)的精神质(P)分值、内外向(E)分值及神经质(N)分值均明显低于对照组(P<0.05),掩饰性(L)分值差异无统计学意义(P>0.05)。观察组干预后的抑郁自评量表(SDS)、焦虑自评量表(SAS)评分分别为(39.41±5.46)分、(40.13±5.73)分,对照组为(54.39±6.82)分、(51.12±3.98)分,观察组均明显低于对照组(P<0.05)。观察组干预后的生理功能、生理职能、健康总体自评、情感职能及精神健康评分均高于对照组(P<0.05)。结论心理护理干预能给胃癌术后化疗患者的人格特征带来正面影响,改善患者的焦虑和抑郁情绪,有效提高术后生活质量。更多还原

【Abstract】 Objective To observe and evaluate the impact of mental nursing intervention on personality characteristics and life quality of patients with stomach caner.Methods 120 patients with stomach cancer were chosen and randomly divided into 2 groups each with 60 cases.Control group was given routine nursing while observation group was given mental nursing intervention on basis of control group including establishment of good nurse-patient relationship,mental perception intervention,environmental support intervention,situation transfer intervention and postoperative mental instruction.After 6 months,personality characteristics,anxiety and depression condition and life quality of the 2 groups were evaluated and compared.Results After intervention,P value,E value and N value of Eysenck personality questionnaire(EPQ) of observation group were all obviously lower than control group(P < 0.05),but no significant difference existed between the 2 groups on L value(P > 0.05).After intervention,self-rating depression scale(SDS) and self-rating anxiety scale(SAS) of observation group were separately(39.41 ± 5.46) and(40.13 ± 5.73) obviously lower than control group(54.39 ± 6.82) and(51.12 ± 3.98,P < 0.05).After intervention,scores of observation group on physical functioning(PF),role physical(RP),general health(GH),role emotional(RE) and mental health(MH) were all obviously higher than control group(P <0.05).Conclusion Mental nursing intervention has positive impact on personality characteristics of patients with stomach cancer,and it can improve anxiety and depression of patients and effectively improve their life qualities.更多还原