综合护理干预对缓解开胸手术患者术前焦虑的影响
|
摘要
目的探讨综合护理干预对缓解胸部肿瘤患者术前焦虑情绪的影响。方法选择2017年1月～2018年1月在首都医科大学附属北京胸科医院住院治疗的胸部肿瘤患者84例,按照随机数字表法将其分成干预组和对照组,每组各42例。对照组接受常规的术前护理和治疗,干预组在对照组的基础上接受有针对性的个性化综合护理干预,分别于入院时及术前采用Zung编制的焦虑自评量表(SAS)进行焦虑测评。结果两组患者入院时SAS评分比较,差异无统计学意义(P> 0.05);术前,两组SAS评分均较入院时明显升高,且干预组SAS评分显低于,差异有高度统计学意义(P <0.01)。结论综合护理干预可改善胸部肿瘤患者术前的焦虑状态。
Objective To explore the effects of comprehensive nursing intervention on the preoperative anxiety of thoracic tumor patients. Methods Eighty-four thoracic tumor inpatients from Beijing Chest Hospital, Capital Medical University from January 2017 to January 2018 were selected. They were divided into intervention group and control group according to the random number table method, with 42 cases in each group. The control group received routine preoperative care and treatment, the intervention group received targeted personalized comprehensive nursing intervention on the basis of the control group. SAS was used for anxiety assessment on admission and before operation. Results There was no significant difference of SAS scores between the two groups on admission(P > 0.05); before operation, the SAS scores in both group were significantly higher than those on admission, and control group were significantly lower than those in intervention group, the differences were statistically significant(P < 0.01). Conclusion The Nursing intervention can reduce the anxiety state of patients with thoracic tumor.
Objective To explore the effects of comprehensive nursing intervention on the preoperative anxiety of thoracic tumor patients. Methods Eighty-four thoracic tumor inpatients from Beijing Chest Hospital, Capital Medical University from January 2017 to January 2018 were selected. They were divided into intervention group and control group according to the random number table method, with 42 cases in each group. The control group received routine preoperative care and treatment, the intervention group received targeted personalized comprehensive nursing intervention on the basis of the control group. SAS was used for anxiety assessment on admission and before operation. Results There was no significant difference of SAS scores between the two groups on admission(P > 0.05); before operation, the SAS scores in both group were significantly higher than those on admission, and control group were significantly lower than those in intervention group, the differences were statistically significant(P < 0.01). Conclusion The Nursing intervention can reduce the anxiety state of patients with thoracic tumor.
引文
[1]谢伟萍,王欣然,韩斌如.对重症监护病房病人家属实施心理支持的护理进展[J].护理研究,2007,21(11):2915-2917.
[2]许庆珍,何静.开胸患者术前疼痛教育的研究进展[J].中华现代护理杂志,2012,18(5):599-602.
[3]靳婷,杨名钫.探究综合性护理干预在开胸术患者中的应用效果[J].世界最新医学信息文摘,2016,16(60):169.
[4]林红华,陈立,石临静.不同护理干预对开胸患者术后疼痛影响比较[J].齐鲁护理杂志,2007,13(6):7-8.
[5]宁冬兰,蒋维连.术前访视应用综合坚强概念对开胸手术患者焦虑抑郁的影响[J].中华现代护理杂志,2013,19(12):1443-1445.
[6]廖伟华,陈丽华,冯建博,等.静默疗法在开胸手术患者中的应用效果研究[J].检验医学与临床,2017,14(2):276-278.
[7]Anagnostopoulou M,Stroumpoulis K,Baltayiannis N,et al Quality of life and pre-operative anxiety level in patients scheduled to undergo thoracic surgery[J].J Buon,2011,16(3):522.
[8]黄秀练.冠状动脉造影术前教育及术后康复护理[J].护理研究,2004,18(2B):309.
[9]张明园,何燕玲.精神科评定量表手册[M].长沙:湖南科学技术出版社,2015.
[10]邵英华.护理干预对开胸手术患者术前焦虑的影响[J]中国实用医药,2016,11(6):261-262.
[11]Liu Y,Petrini MA.Effects of music therapy on pain,anxiety,and vital signs in patients after thoracic surgery[J]Complement Ther Med,2015,23(5):714-718.
[12]张雨,崔秋艳.坚强概念护理干预对开胸手术患者术前焦虑抑郁的影响[J].当代护士:综合版(上旬刊),2018,25(3):136-139.
[13]宋义英,裴淑瑜,徐红梅,等.高龄开胸手术患者围手术期的应激反应及心理干预研究[J].中华现代护理杂志,2011,17(22):2627-2630.
[14]刘鑫.分级心理护理对心胸外科手术患者术后焦虑、抑郁及睡眠质量的影响[J].中华现代护理杂志,2014,49(19):2368-2370.
[15]宁冬兰,蒋维连.术前访视应用综合坚强概念对开胸手术患者焦虑抑郁的影响[J].中华现代护理杂志,2013,19(12):1443-1445.
[16]周意丹,陈力,李丽,等.160例手术病人心理特点与术前焦虑的多因素分析[J].中国心理卫生杂志,2003,17(4):263-264.
[17]徐印芝.心理干预对开胸手术患者的影响[J].山东医学高等专科学校学报,2016,38(1):48-50.
[18]王小慢,谢方,秦炳彩.综合护理干预对胸外科手术患者焦虑、抑郁情绪的影响[J].中国继续医学教育,2016,8(18):217-218.
[19]何玉琴,成琦,郭艳丽,等.综合护理干预对肺癌患者术后自我护理能力和生活质量的影响[J].中国肿瘤临床与康复,2017,24(10):1263-1265.
[20]张瑶,冯士云,赵勇.综合护理干预对开胸术后肺癌患者生活质量的影响分析[J].吉林医学,2015,36(16):3616-3618.
[21]Hamester L,Souza END,Cielo C,et al.Effectiveness of a nursing intervention in decreasing the anxiety levels of family members of patients undergoing cardiac surgery:a randomized clinical trial[J].Rev Lat Am Enfermagem,2016,24:e2729.
[22]黄招玲.综合护理干预对慢性心衰合并焦虑抑郁患者的疗效观察[J].中外医学研究,2017,15(32):109-110.
[23]Deardorff W.Surgical Patients Need Us:Psychological Preparation Improves Outcomes[OL].[2017-07-30].http://xa yimg.com/kq/groups/86627318/2090972364/name/Pregatire_preoperatorie_Surgical_Patients_Need_Us.pdf.
[24]黄娟,王在霞.病友志愿者教育法对青光眼患者术前焦虑的影响[J].中华现代护理杂志,2013,19(8):938-939.
[2]许庆珍,何静.开胸患者术前疼痛教育的研究进展[J].中华现代护理杂志,2012,18(5):599-602.
[3]靳婷,杨名钫.探究综合性护理干预在开胸术患者中的应用效果[J].世界最新医学信息文摘,2016,16(60):169.
[4]林红华,陈立,石临静.不同护理干预对开胸患者术后疼痛影响比较[J].齐鲁护理杂志,2007,13(6):7-8.
[5]宁冬兰,蒋维连.术前访视应用综合坚强概念对开胸手术患者焦虑抑郁的影响[J].中华现代护理杂志,2013,19(12):1443-1445.
[6]廖伟华,陈丽华,冯建博,等.静默疗法在开胸手术患者中的应用效果研究[J].检验医学与临床,2017,14(2):276-278.
[7]Anagnostopoulou M,Stroumpoulis K,Baltayiannis N,et al Quality of life and pre-operative anxiety level in patients scheduled to undergo thoracic surgery[J].J Buon,2011,16(3):522.
[8]黄秀练.冠状动脉造影术前教育及术后康复护理[J].护理研究,2004,18(2B):309.
[9]张明园,何燕玲.精神科评定量表手册[M].长沙:湖南科学技术出版社,2015.
[10]邵英华.护理干预对开胸手术患者术前焦虑的影响[J]中国实用医药,2016,11(6):261-262.
[11]Liu Y,Petrini MA.Effects of music therapy on pain,anxiety,and vital signs in patients after thoracic surgery[J]Complement Ther Med,2015,23(5):714-718.
[12]张雨,崔秋艳.坚强概念护理干预对开胸手术患者术前焦虑抑郁的影响[J].当代护士:综合版(上旬刊),2018,25(3):136-139.
[13]宋义英,裴淑瑜,徐红梅,等.高龄开胸手术患者围手术期的应激反应及心理干预研究[J].中华现代护理杂志,2011,17(22):2627-2630.
[14]刘鑫.分级心理护理对心胸外科手术患者术后焦虑、抑郁及睡眠质量的影响[J].中华现代护理杂志,2014,49(19):2368-2370.
[15]宁冬兰,蒋维连.术前访视应用综合坚强概念对开胸手术患者焦虑抑郁的影响[J].中华现代护理杂志,2013,19(12):1443-1445.
[16]周意丹,陈力,李丽,等.160例手术病人心理特点与术前焦虑的多因素分析[J].中国心理卫生杂志,2003,17(4):263-264.
[17]徐印芝.心理干预对开胸手术患者的影响[J].山东医学高等专科学校学报,2016,38(1):48-50.
[18]王小慢,谢方,秦炳彩.综合护理干预对胸外科手术患者焦虑、抑郁情绪的影响[J].中国继续医学教育,2016,8(18):217-218.
[19]何玉琴,成琦,郭艳丽,等.综合护理干预对肺癌患者术后自我护理能力和生活质量的影响[J].中国肿瘤临床与康复,2017,24(10):1263-1265.
[20]张瑶,冯士云,赵勇.综合护理干预对开胸术后肺癌患者生活质量的影响分析[J].吉林医学,2015,36(16):3616-3618.
[21]Hamester L,Souza END,Cielo C,et al.Effectiveness of a nursing intervention in decreasing the anxiety levels of family members of patients undergoing cardiac surgery:a randomized clinical trial[J].Rev Lat Am Enfermagem,2016,24:e2729.
[22]黄招玲.综合护理干预对慢性心衰合并焦虑抑郁患者的疗效观察[J].中外医学研究,2017,15(32):109-110.
[23]Deardorff W.Surgical Patients Need Us:Psychological Preparation Improves Outcomes[OL].[2017-07-30].http://xa yimg.com/kq/groups/86627318/2090972364/name/Pregatire_preoperatorie_Surgical_Patients_Need_Us.pdf.
[24]黄娟,王在霞.病友志愿者教育法对青光眼患者术前焦虑的影响[J].中华现代护理杂志,2013,19(8):938-939.