作者：周丽华1，高洁2，黄燕华3

单位：1.海南省琼海市人民医院 护理部，海南 琼海 571400； 2.海南省琼海市人民医院 乳腺外科，海南 琼海 571400； 3.海南省琼海市人民医院 普通外科，海南 琼海 571400

Authors:  Zhou Lihua1, Gao Jie2, Huang Yanhua3

Unit: 1.Nursing Department，Qionghai City People's Hospital, Qionghai 571400, Hainan, China； 2.Department of Breast Surgery，Qionghai City People's Hospital, Qionghai 571400, Hainan, China； 3.Department of General Surgery，Qionghai City People's Hospital, Qionghai 571400, Hainan, China

摘要：

目的 探讨心理干预联合综合护理在老年胆囊癌手术患者中的应用价值。方法 选择在海南省琼海市人民医院收治的60例老年胆囊癌患者作为本次的研究对象,采用随机数字表法分为对照组(常规护理)和观察组(综合护理联合心理护理干预),每组患者30例。对比不同护理方式护理后患者的护理满意度、生活质量、干预前后焦虑及抑郁情况。结果 护理后,观察组患者的护理满意度评分显著高于对照组患者的护理满意度;观察组患者的生活质量等指标评分显著高于对照组患者的各项指标评分;观察组及对照组患者的焦虑自评量表、抑郁自评量表评分均有一定幅度的下降,且观察组患者焦虑自评量表、抑郁自评量表评分下降幅度大于对照组患者焦虑自评量表、抑郁自评量表评分下降幅度,差异均具有统计学意义(P<0.05)。结论 对老年胆囊癌患者开展综合护理联合心理干预,能明显提高生活质量,改善负性情绪。

关键词：  综合护理干预; 心理干预; 老年胆囊癌; 护理满意度; 负面情绪

Abstract：

Objective To explore the application value of psychological intervention combined with comprehensive nursing in elderly patients with gallbladder cancer surgery, and to provide theoretical basis for clinical nursing. Methods 60 cases of elderly patients with gallbladder cancer in our hospital were selected as the research objects. The patients were divided into control group (routine nursing) and observation group (comprehensive nursing combined with psychological nursing intervention)by using random number table method. Each group had 30 patients. To compare the patients' nursing satisfaction, quality of life, anxiety, depression and negative emotion before and after the intervention. Results After nursing, the scores of nursing satisfaction in the observation group were significantly higher than those in the control group; the scores of life quality and other indicators in the observation group were significantly higher than those in the control group; the scores of SDS and SAS in the observation group and the control group were decreased to a certain extent, and the scores of SDS and SAS in the observation group were decreased more than those in the control group SAS scores decreased significantly (P<0.05). Conclusion Comprehensive nursing combined with psychological intervention for elderly patients with gallbladder cancer could significantly improve the quality of life, improve negative emotions, and has a certain promotion value.

Key Words:  Comprehensive nursing intervention; Psychological intervention; Elderly gallbladder cancer; Nursing satisfaction; Negative emotion