用药护理对直肠癌造口患者心理状态的影响分析

发布时间：2018-03-18 12:11

本文选题：直肠癌造口　切入点：心理状态　出处：《中国药业》2016年24期 　论文类型：期刊论文

【摘要】：目的探讨用药护理对直肠癌造口患者心理状态的影响效果。方法选取2014年1月至2016年8月在医院行经腹会阴联合直肠癌根治术的直肠癌造口患者86例,随机分为对照组和观察组,各43例。对照组患者按常规护理,观察组患者则采用用药护理,观察两组患者护理干预后术后并发症发生情况,比较干预前后的心理状态变化及自我护理能力。结果出院时,观察组患者焦虑情绪评分为(11.23±4.25)分,抑郁评分为(14.24±5.47)分,显著低于对照组患者的(16.67±5.18)分、(18.61±2.24)分,差异有统计学意义(P0.05);出院3个月,观察组患者的焦虑情绪评分为(8.58±3.14)分,抑郁评分为(5.89±1.17)分,显著低于对照组患者的(13.45±4.27)分、(13.47±1.28)分,差异有统计学意义(P0.05);出院时和出院3个月,观察组患者自我护理能力评分、自我概念、健康知识水平、自我护理技能、自我责任感评分均显著高于对照组,差异有统计学意义(P0.05);观察组直肠癌患者造口术后并发症发生率为9.30%,显著低于对照组的18.60%,差异有统计学意义(P0.05)。结论直肠癌造口患者采用全程化及用药护理可有效改善患者的心理状态,同时可提升患者的自我护理能力,并能降低术后并发症风险,值得临床推广。
[Abstract]:Objective to investigate the effect of medication nursing on the psychological status of patients with rectal cancer. Methods 86 patients with rectal cancer undergoing transabdominal perineum combined radical rectal cancer operation from January 2014 to August 2016 were selected. The patients in the control group and the observation group were randomly divided into two groups: the control group and the observation group. The patients in the control group were given routine nursing care, while the patients in the observation group were given medication nursing, and the complications after nursing intervention were observed in the two groups. Results the scores of anxiety and depression in the observation group were 11.23 卤4.25 and 14.24 卤5.47 respectively, which were significantly lower than those in the control group (18.61 卤2.24). The scores of anxiety and depression in the observation group were 8.58 卤3.14 and 5.89 卤1.17 respectively, which were significantly lower than those in the control group (13.45 卤4.27) and 13.47 卤1.28, respectively. The scores of self-nursing ability, self-concept, health knowledge, self-nursing skills and self-responsibility in the observation group were significantly higher than those in the control group. The incidence of postoperative complications in patients with rectal cancer in the observation group was 9.30, which was significantly lower than that in the control group (18.60%), and the difference was statistically significant (P 0.05). Conclusion the whole procedure and nursing care of patients with rectal cancer ostomy can be improved effectively. The mental state of a good patient, At the same time, it can improve the ability of self-nursing and reduce the risk of postoperative complications.
【作者单位】：南京医科大学第一附属医院普外科;
【基金】：国家自然科学基金项目,项目编号:81401800
【分类号】：R473.73

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