全程化护理模式对直肠癌造口患者心理状态影响的研究
发布时间：2018-11-06 20:20
【摘要】：目的：探讨直肠癌造口患者的焦虑状况及相关影响因素,同时在全程化护理模式下,协助手术患者建立有效的应对方式,以减少焦虑情绪对低位直肠癌行造口手术的患者手术治疗及康复的不利影响,提高护士心理护理的水平和护理质量,建立标准化和共性化相结合的护理模式,形成造口患者全程化护理流程,在护理工作中推广。方法：选取山东大学齐鲁医院普外科拟行造口手术的低位直肠癌患者为研究对象,连续入组161人。采用随机对照的方法,将全部被试分常规护理组(n=78人)和全程化护理组(n=83人)。全程化护理组在常规护理基础上,采用治疗性沟通系统模式进行全程化护理,分别在术后第一日和出院前一日使用状态焦虑问卷和特质应对方式问卷对两组患者进行评估,分析比较普通护理模式和全程化护理模式对肠造口患者心理状态和应对方式的影响。结果：1、直肠癌患者行造口手术后,全部伴发焦虑情绪,发生率为100%,焦虑得分为54.34士9.53,直肠癌患者应对方式与焦虑情绪密切相关。直肠癌患者焦虑程度与应对方式有明显相关性(P0.01),与积极应对呈负相关,与消极应对呈正相关。2、直肠癌造口患者焦虑发生率与年龄,文化程度,经济状况,职业类别,家庭所在地,医疗费用支付类别,主要照顾者之间没有明显相关性(P0,05)。3、干预前,直肠癌患者全程化护理模式组与常规护理组的一般资料组间差异无统计学意义(P0.05);干预后两组间的焦虑得分的差异具有统计学意义(P0.01);干预后的全程化护理模式组焦虑和特质应对方式得分与干预前的得分之间差异具有统计学意义(P0.01);结论及意义：1、直肠癌造口患者焦虑发生率较高,临床护理工作者注意给予关注。2、直肠癌造口患者焦虑情绪与应对方式密切相关。3、本研究提出在全程化护理模式下协助患者构建有效应对方式是可行的,对缓解直肠癌造口患者焦虑情绪是有效的。
[Abstract]:Objective: to explore the anxiety status and related influencing factors of patients with rectal cancer, and to assist the patients with operation to establish effective coping style under the mode of holistic nursing. In order to reduce the adverse effects of anxiety on the surgical treatment and rehabilitation of patients with low rectal cancer, to improve the level and quality of nurses' psychological nursing, and to establish a standardized and common nursing model. To form the whole nursing process of patients with ostomy and popularize it in nursing work. Methods: 161 patients with low rectal cancer were selected from general surgery department of Qilu Hospital of Shandong University. All subjects were divided into routine nursing group (n = 78) and holistic nursing group (n = 83). On the basis of routine nursing, holistic nursing was carried out by using therapeutic communication system model. State anxiety questionnaire and trait coping style questionnaire were used to evaluate the two groups respectively on the first day after operation and the day before discharge. To analyze and compare the influence of general nursing mode and holistic nursing mode on psychological state and coping style of enterostomy patients. Results: 1. All patients with rectal cancer were accompanied by anxiety, the incidence was 100, and the anxiety score was 54.34 卤9.53. The coping style of rectal cancer patients was closely related to anxiety. There was a significant correlation between anxiety level and coping style in rectal cancer patients (P0.01), negative correlation with positive coping style and positive correlation with negative coping style. There was no significant correlation between occupational category, family location, medical expense payment category, and primary caregivers (P005). 3, before intervention, There was no significant difference in general data between the group of holistic nursing and the group of routine nursing (P0.05). There were significant differences in anxiety scores between the two groups after intervention (P0.01), between anxiety and trait coping style scores of holistic nursing model group after intervention and pre-intervention scores (P0.01). Conclusion and significance: 1. The incidence of anxiety in patients with rectal cancer ostomy is high, and attention should be paid by clinical nursing workers. 2. Anxiety in patients with rectal cancer ostomy is closely related to coping style. This study suggests that it is feasible to assist patients to construct effective coping style and to relieve anxiety in patients with rectal cancer under the mode of holistic nursing.
【学位授予单位】：山东大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R473.73
[Abstract]:Objective: to explore the anxiety status and related influencing factors of patients with rectal cancer, and to assist the patients with operation to establish effective coping style under the mode of holistic nursing. In order to reduce the adverse effects of anxiety on the surgical treatment and rehabilitation of patients with low rectal cancer, to improve the level and quality of nurses' psychological nursing, and to establish a standardized and common nursing model. To form the whole nursing process of patients with ostomy and popularize it in nursing work. Methods: 161 patients with low rectal cancer were selected from general surgery department of Qilu Hospital of Shandong University. All subjects were divided into routine nursing group (n = 78) and holistic nursing group (n = 83). On the basis of routine nursing, holistic nursing was carried out by using therapeutic communication system model. State anxiety questionnaire and trait coping style questionnaire were used to evaluate the two groups respectively on the first day after operation and the day before discharge. To analyze and compare the influence of general nursing mode and holistic nursing mode on psychological state and coping style of enterostomy patients. Results: 1. All patients with rectal cancer were accompanied by anxiety, the incidence was 100, and the anxiety score was 54.34 卤9.53. The coping style of rectal cancer patients was closely related to anxiety. There was a significant correlation between anxiety level and coping style in rectal cancer patients (P0.01), negative correlation with positive coping style and positive correlation with negative coping style. There was no significant correlation between occupational category, family location, medical expense payment category, and primary caregivers (P005). 3, before intervention, There was no significant difference in general data between the group of holistic nursing and the group of routine nursing (P0.05). There were significant differences in anxiety scores between the two groups after intervention (P0.01), between anxiety and trait coping style scores of holistic nursing model group after intervention and pre-intervention scores (P0.01). Conclusion and significance: 1. The incidence of anxiety in patients with rectal cancer ostomy is high, and attention should be paid by clinical nursing workers. 2. Anxiety in patients with rectal cancer ostomy is closely related to coping style. This study suggests that it is feasible to assist patients to construct effective coping style and to relieve anxiety in patients with rectal cancer under the mode of holistic nursing.
【学位授予单位】：山东大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R473.73
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