摘要
目的:探讨引导式教育锻炼对胃癌患者术后康复效果影响的研究.方法:选取胃癌手术患者100例,根据患者接受的围术期的护理方式不同分为对照组和观察组,接受传统的护理方式的患者为对照组,接受引导式教育锻炼护理的患者为观察组,每组患者为50例,评价两组患者治疗1 mo后的抑郁情况[采用汉密尔顿抑郁量表(Hamilton depression scale,HAMD)],焦虑情况[采用汉密尔顿抑郁量表(Hamilton anxiety scale,HAMA)],对自身病情的识别和治疗态度[采用自知力与治疗态度问卷(insight and treatment attitude questionnaire,ITAQ)],希望水平(采用Herth希望量表).结果:两组患者在教育后焦虑和抑郁均有显著改善,且差异具有统计学意义,观察组患者教育后焦虑和抑郁的评分均低于对照组,且差异均具有统计学差异(t=6.852,5.416,均P<0.05);教育后,两组患者的自知力的评分均有显著的提升,且差异具有统计学意义,观察组患者的评分明显地高于对照组,且差异具有统计学意义(t=6.529,P<0.05);教育后观察组患者的积极态度,积极行为以及密切关系以及总体的评分均明显地高于对照组,且差异具有统计学意义(t=8.529,7.031,12.947,23.760,均P<0.05).结论:胃癌患者术后采用引导式健康锻炼,不仅可以有效地改善患者的抑郁和焦虑情绪,还可以提升患者的自知力和希望感,值得临床推广.
AIM： To investigate the effect of guided healthy exercise on rehabilitation in patients with gastric cancer. METHODS： One hundred patients receiving surgery for gastric cancer were divided into either anobser vationgrou poracontrol group, with 50 casesi neachgroup. The control group received traditional nursing care, and the observation group received guided healthy exercise. After one month of intervention, depression was assessed using the Hamilton depressionscale（ HAMD）, anxiety was assessed using the Hamilton depression scale（HAMA）, the awareness of disease condition and attitude to treatment were assessed using the insight treatment attitude questionnaire（ITAQ）, and hope levels were assessed using the Herth hope scale（HHS）. RESULTS： After intervention, HAMD and HAMA scores were significantly improved in both groups, and the improvement was more significant in the observation group（t = 6.852, 5.416, P 〈 0.05）. The ITAQ score was also significantly improved in both groups, and the improvement was more significant in the observation group（t = 6.529, P 〈 0.05）. The scores of positive attitude, positive behavior and relationship as well as the total HHS score were significantly higher in the observation group than in the control group（t = 8.529, 7.031, 12.947, 23.760, P 〈 0.05）. CONCLUSION： Guided healthy exercise in patients with gastric cancer can not only effectively improve depression and anxiety but also improve the patient’s insight and hope.
出处
《世界华人消化杂志》
CAS
2015年第4期642-647,共6页
World Chinese Journal of Digestology
关键词
引导式教育锻炼
胃癌
康复
Guided healthy exercise
Gastric cancer
Rehabilitation
