摘要
目的探讨阶梯式心理护理联合早期活动对胃癌手术后患者心理健康及胃肠功能恢复的影响。方法选择2020年3月至2023年1月于该院进行胃癌手术的106例患者作为研究对象,按随机数字表法分为对照组和观察组,各53例。对照组进行常规护理,观察组进行阶梯式心理护理联合早期活动。比较两组胃肠功能恢复时间、应激状态、心理健康程度和生活质量。结果观察组胃肠功能恢复时间均较对照组短,差异有统计学意义(P<0.05);术中,两组心率(HR)、收缩压(SBP)和舒张压(DBP)均上升,但观察组低于对照组,术后两组HR、SBP、DBP均降低,且观察组低于对照组,差异均有统计学意义(P<0.05);干预后,观察组焦虑自评量表(SAS)、抑郁自评量表(SDS)分值较对照组低,癌症患者生命质量测定量表(QLICP)各维度得分均较对照组高,差异均有统计学意义(P<0.05)。结论胃癌手术患者采取阶梯式心理护理联合早期活动,能够加快其术后胃肠功能恢复,有效降低术中的应激水平,并改善其心理健康程度,提高其生活质量。
Objective To explore the effect of stepped psychological care combined with early activities on the mental health and gastrointestinal function recovery of patients with gastric cancer after operation.Methods A total of 106 patients who underwent gastric cancer surgery in our hospital from March 2020 to January 2023 were selected as the study subjects.According to the random number table method,they were divided into the control group and the observation group,with 53 cases in each group.The control group received routine care,while the observation group received stepped psychological care combined with early activities.The recovery time of gastrointestinal function,stress state,mental health and quality of life were compared between the two groups.Results The recovery time of gastrointestinal function in the observation group were shorter than those in the control group,and the difference was statistically significant(P<0.05).During the operation,the heart rate(HR),systolic blood pressure(SBP)and diastolic blood pressure(DBP)increased in both groups,but the observation group was lower than the control group,with statistically significant difference(P<0.05).After the operation,HR,SBP,and DBP decreased in both groups,and the observation group was lower than the control group,with a statistically significant differences(P<0.05).After intervention,the scores of the Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)in the observation group were lower than those in the control group,and the scores of all dimensions of the Quality of Life Inventory(QLICP)for cancer patients were higher than those in the control group,with statistically significant differences(P<0.05).Conclusion The application of stepped psychological care combined with early activities in patients with gastric cancer surgery accelerate the recovery of gastrointestinal function,effectively reduce the stress level during the operation,and improve their mental health and quality of life.
作者
葛岩
张婷
刘洁
GE Yan;ZHANG Ting;LIU Jie(Ward 9,Department of General Surgery,Henan Provincial Cancer Hospital/Affiliated Cancer Hospital of Zhengzhou University,Zhengzhou,Henan 450008,China)
出处
《现代医药卫生》
2024年第7期1151-1154,共4页
Journal of Modern Medicine & Health
关键词
胃癌手术
阶梯式心理护理
早期活动
心理健康
胃肠功能恢复
生活质量
Gastric cancer surgery
Stepped psychological care
Early activities
Mental health
Gastrointestinal function recovery
Quality of Life
