摘要
目的探讨心理弹性训练对胃癌根治术患者预后和生活质量的影响。方法回顾性分析96例胃癌根治术患者,通过护理方式不同分为观察组(n=48)和对照组(n=48),两组患者均顺利完成手术,对照组患者术后给予常规护理,观察组患者在常规护理的基础上联合心理弹性训练,均连续护理8周。比较护理前后两组患者的心理弹性量表(CD-RISC)评分、简明心境状态量表(POMS)评分和卡氏(KPS)功能状态评分的变化,比较两组患者护理期间并发症发生率和随访两年内胃癌复发率。结果护理后两组患者的CD-RISC评分、POMS量表评分(疲劳、慌乱、愤怒、抑郁和紧张)、KPS评分均优于护理前,差异均有统计学意义(P﹤0.05),且护理后观察组患者的CD-RISC评分、PMOS量表评分(疲劳、慌乱、愤怒、抑郁和紧张)、KPS评分均明显优于对照组,差异均有统计学意义(P﹤0.01)。两组患者护理期间并发症发生率、随访1年胃癌复发率比较,差异均无统计学意义(P﹥0.05),而观察组患者的2年复发率为8.33%(4/48),低于对照组的25.00%(12/48),差异有统计学意义(P﹤0.05)。结论对胃癌根治术患者进行心理弹性训练,效果显著,可以有效地改善患者的心理状态和生活质量,提高预后,有较高的临床应用价值。
Objective To study the effect of psychological resilience training on the prognosis and quality of life in gastric cancer patients treated with radical gastrectomy. Method 96 cases with radical gastrectomy for gastric cancer were included in the study, and were stratified as study group（n=48） or control group（n=48） according to different ways of nursing, all patients had successfully completed the surgical treatment, the control group was administered with routine nursing, but the study group was given psychological resilience training on the basis of routine nursing, all nursing care lasted for 8 weeks. The changes of the Connor-Davidson Resilience Scale（CD-RISC）, the Program Operations Manual System（POMS） and the Karnofsky（KPS） score before and after nursing of the two groups were compared, furthermore,the incidence of complications during the nursing period and the recurrence rate within two years during follow up were compared. Result After nursing, the CD-RISC, POMS（fatigue, panic, anger, depression and tension） and KPS scores of the two groups were significantly increased as compared with before nursing, the difference was statistically significantly（P〈0.05）, and were higher in study group than in control group, indicating significant difference（P〈0.01）; there was no significant difference between the incidence of complications and the recurrence rate during 1-year follow up in the two groups, there was no significant difference observed（P〈0.05）, while the 2-year recurrence rate in study group was 8.33%（4/48）, which was lower than the 25.00%（12/48） in control group（P〈0.05）. Conclusion Psychological resilience training for gastric cancer patients treated with radical gastrectomy is markedly effective in improving the mental status and quality of life, as well as the prognosis, and it is clinically applicable.
作者
孙红霞
徐洁湜
张盾
SUN Hongxia;XU Jieshi;ZHANG Dun(Department of Endoscopy;Department of Digestive Medicine, Chaoyang Central Hospital, Chaoyang 122000, Liaoning, China)
出处
《癌症进展》
2018年第3期390-393,共4页
Oncology Progress
关键词
胃癌根治术
心理弹性训练
预后
生活质量
radical gastrectomy for gastric cancer
psychological resilience training
prognosis
quality of life
