摘要
目的分析胃癌患者的身心状态并探讨有效的护理对策。方法选择2011年4月至2012年10月随访的92例胃癌患者作为研究对象,采用焦虑自评量表(SAS)、抑郁自评量表(SDS)评估心理状态。采用Karnofsky功能状态评分标准(KPS)、体力状况分析标准(PS)评估身体状态。按照护理方案不同。分为采用肿瘤常规护理的对照组(42例)和采用综合护理干预的观察组(50例),比较护理前后两组患者的身心状态评分情况。结果护理前所有患者均存在一定的心理和身体障碍,两组患者的SAS、SDS、KPS和PS评分比较,组间差异均无统计学意义(P>0.05);护理后观察组患者的SAS、SDS、KPS和PS评分均明显优于对照组,组间差异均有统计学意义(P<0.05);护理前两组患者的生活质量评分(QOL)间无统计学差异,护理后观察组患者QOL评分明显优于对照组(P<0.05)。结论胃癌患者均存在一定的心理和身体障碍,针对性护理干预可以明显改善患者的身心状况,提高生活质量。
Objective To analyze the psychological and body condition of gastric cancer patients and explore the effective nursing measures.Methods From April 2011 to October 2012 in our hospital,92 patients with gastric cancer were selected as the subjects of research,the psychological condition of them were evaluated by self-rating anxiety scale（SAS） and self-rating depression scale（SDS）,the body condition of them were evaluated by Karnofsky performance status standard（KPS）,physical condition standards（PS）,they were divided into two groups according to the nursing program,42 cases with the conventional tumor nursing as the control group,50 cases with comprehensive nursing intervention as the observation group,the scores of psychological and body condition of two groups before and after nursing were compared. Results All patients had a certain psychological and body obstacles,the SAS,SDS,KPS,PS scores of two groups before nursing were compared,the difference was not statistically significant between two groups（P 0.05）;but the SAS,SDS,KPS,PS scores of two groups after nursing were compared,the observation group were significantly better than the control group,the differences were statistically significant between two groups（P 0.05）;the quality of life（QOL） score of two groups before nursing were compared, the difference was not statistically significant（P 0.05）;but the QOL score of observation group was significantly better than the control group after nursing（P 0.05）.Conclusions There are certain psychological and body obstacles in patients with gastric cancer,targeted nursing intervention can significantly improve their psychological and body condition,and improve the quality of life.
出处
《中国肿瘤临床与康复》
2013年第5期535-537,共3页
Chinese Journal of Clinical Oncology and Rehabilitation
关键词
胃肿瘤
心理状态
身体状态
护理对策
Gastric neoplasms Psychological condition Body condition Nursing strategy
