【摘要】 目的探讨细节化护理管理在老年胃癌手术患者围术期的应用效果。方法选择2011年1月~2013年1月在我院手术室择期实施胃癌手术的65岁及以上患者66例作为观察对象,根据干预措施不同分为干预组和对照组各33例,比较两组患者的围术期各项护理质量管理评分、术后SAS评分、SDS评分、术后症状自评量表(SCL-90)各项评分。结果干预组患者的护理质量管理总评分(96.2±1.7),明显高于对照组(72.3±10.8)(P<0.05)。干预组患者术后SAS、SDS评分分别较对照组明显降低(P<0.05)。干预组患者术后躯体化、强迫、人际关系、抑郁、焦虑、敌对、恐怖、偏执、精神病性、其他各项评分较对照组比较明显低于对照组(P<0.05)。结论细节化护理管理有利于提高护理质量,改善患者的负性心理状态,使其积极配合手术。更多还原

【Abstract】 Objective To investigate the effect of details care management for elderly gastric patients. Methods A total of 66 cases were divided into intervention group and control group 33 cases, rated the quality of care management, postoperative SAS score, SDS score, postoperative SCL-90 score were compared. Results The intervention group patient care quality management total score was(96.2±1.7), was significantly higher than the control group(72.3 ±10.8)(P < 0.05). SAS, SDS scores of intervention group were significantly lower than the control group(P < 0.05). Intervention group patients were somatization, interpersonal sensitivity, depression, anxiety, hostility, paranoia,psychosis,various other score of intervention group was significantly lower than the control group(P < 0.05). Conclusion The details care management can improve the quality of care and he negative psychological state of patients, and make them actively cooperate with the surgery.更多还原