摘要
目的:探讨心理护理分级模式在老年胃肠道肿瘤择期手术患者中应用效果.方法:老年消化系肿瘤择期手术患者145例,随机分为试验组和对照组,实验组给予分级模式的心理护理,对照组给予常规心理护理.结果:(1)实验组术后焦虑、抑郁、睡眠质量得分显著低于术前(P<0.05);对照组焦虑得分显著低于术前(P<0.05);(2)实验组术后焦虑、抑郁及睡眠质量得分显著低于对照组(P<0.05);手术依从性及住院满意度显著高于对照组(P<0.05);(3)实验组依从性差事件发生率显著低于对照组(P<0.05);两组依从性差主要在非计划性拔管、不能及时咳嗽、咳痰、不遵医嘱饮食、人工肛门自我护理落实不到位、拒绝治疗、护理、拒绝尽早下床活动、不能控制情绪方面.结论:分级模式的心理护理能有效缓解老年消化系肿瘤择期手术患者不良心理情绪,增强手术依从性,提高患者满意度,利于手术及健康的恢复.
AIM： To evaluate the clinical effects of graded psychological nursing care in elderly patients with gastrointestinal tumors undergoing elective surgery. METHODS： One hundred and forty-five elderly patients undergoing selective surgery for gastrointestinal tumors were divided into two groups： an experimental group and a control group. The experimental group was given graded psychological nursing care, and the control group was given routine nursing care. Clinical effects were compared for the two groups RESULTS： In the experimental group, scores of postoperative anxiety, depression, and sleep quality were significantly lower than those before operation （P 〈 0.05）; in the control group, postoperative anxiety score was significantly lower than preoperative anxiety score （P 〈 0.05）. In the experimental group, postoperative anxiety, depression and sleep quality scores were significantly lower than those in the control group （P 〈 0.05）, and operation compliance and inpatient satisfaction scores were significantly higher than those in the control group （P 〈 0.05）. The rate of poor compliance incidents in the experiment group was significantly lower than that in the control group （P 〈 0.05）. Poor compliance incidents in the two group included unplanned extubation, failure to cough, not following diet directions, inappropriate self care for artificial anus, treatment, nursing or exercise rejection as early as possible and failure to control mood. CONCLUSION： Graded psychological nursing care in elderly patients with digestive tract tumors undergoing elective surgery can enhance the patients＇ compliance and improve their satisfaction.
出处
《世界华人消化杂志》
CAS
2015年第12期2011-2016,共6页
World Chinese Journal of Digestology
基金
江苏省高校哲学社会科学研究基金资助项目
No.2012SJD630012~~
关键词
分级模式
心理护理
老年患者
择期手术
消化系肿瘤
Graded model
Psychological nursingcare
Elderly patients
Elective surgery
Digestivetract tumor
