摘要
目的探讨治疗性沟通系统对胃癌患者术前焦虑及特质应对方式的影响。方法以胃癌术前伴焦虑的59例患者为研究对象,随机分为对照组28例,干预组31例。对照组予常规术前护理及临床一般沟通,干预组在此基础上予以系统的治疗性沟通。干预前后(入院当天、术前1 d)采用焦虑自评量表与特质应对方式问卷进行测量。结果干预前,一般资料、焦虑、特质应对方式组间差异无显著意义(P>0.05);干预后与干预前比较,干预组焦虑有所缓解,特质应对方式中的积极应对有所提高,消极应对有所降低(P<0.05),对照组均无显著变化(P>0.05);干预后,干预组焦虑、积极应对、消极应对的改善均优于对照组(P<0.01),且焦虑的好转组间差异有显著意义(P<0.001)。结论治疗性沟通系统能比较有效地缓解胃癌患者术前焦虑,提高其应对能力。
Objective To investigate the effect of therapeutic communication system on the anxiety and trait coping styles of gastric cancer patients before operation. Method Fifty-nine gastric cancer patients with anxiety before operation were recruited and randomly divided into experimental group （n = 31） and control group （n = 28）. The control group was given routine preoperative care and clinical common communication, in addition to this, the exper- imental group was given therapeutic communication system before and after intervention （the day of admission and the day before operation）, self-rating anxiety scale （SAS）, trait coping styles questionnaire （TCSQ） were used to investigate the patients respectively. Result Before intervention, the result showed that there were no significant differences between the general data, anxiety and trait coping styles in the two groups. There were significant melio- ration on anxiety, positive coping and negative coping in the experimental group than before, There was no signifi- cant difference on them in control group. Moreover, after intervention, there was significant melioration on them in the experimental group than the other one. Conclusion Therapeutic communication system has positive effect on the anxiety, and improve their coping ability among gastric cancer patients.
出处
《护士进修杂志》
北大核心
2010年第17期1541-1544,共4页
Journal of Nurses Training
基金
安徽省高等学校省级自然科学研究重点项目(项目编号:KJ2010A195)
关键词
治疗性沟通系统
焦虑
特质应对方式
胃癌
Therapeutic communication system Anxiety Trait coping styles Gastric cancer
