人文关怀护理对肝癌手术患者生活质量和负性情绪的影响研究

摘要

Objective:To explore the effect of humanistic care on the quality of life and the negative emotion of patients with liver cancer operation. Methods: A total of 577 patients with liver cancer surgery were selected to participate in this study from January 2014 to December 2015 . From January 2014 to December 2014 , 288 cases of liver cancer patients were given routine nursing care as the control group. From January 2015 to December 2015, 289 patients were given humanistic care nursing as experimental group. The emotion of depression and anxiety were evaluated using Self-rating Depression Scale and Self-rating Anxiety Scale, the quality of life was evaluated with the core scale of life quality measurement system for cancer patients, while sleep quality with the Pittsburgh Sleep Quality Index. Results:Both depression and anxiety score of the subjects in experimental group were lower than those in the control group(P<0. 05). Physical function, cognitive function, social function, emotional function, role function, and overall health status of the subjects in the experimental group were higher than those in the con-trol group (P<0. 05), while pain, tiredness, nausea, vomiting, shortness of breath, insomnia, diarrhea, loss of appetite, constipation, economic difficulties and other score were statistically lower than those in the control group (P<0. 05). The subjects′quality of life of in the experimental group was better than those in the control group(P<0 . 05 ) , but the sleep index score was lower in the experimental group ( P<0 . 05 ) . Conclusion: Humanistic care nursing can effectively reduce the negative emotions of patients with liver cancer surgery, and thus to improve the quality of life.%目的：研究人文关怀护理对肝癌手术患者生活质量和负性情绪的影响。方法选择2014年1月至2015年12月在我院肝胆外科就诊的肝癌手术患者577例,2014年1月至12月288例肝癌手术患者为对照组,2015年1月至12月289例患者为实验组,对照组患者采用常规护理；实验组患者采用人文关怀护理,采用抑郁和焦虑自评量表对患者的抑郁和焦虑情绪进行评价；采用癌症患者生命质量测定量表体系中的核心量表评价患者的生活质量；采用匹兹堡睡眠质量指数对两组患者的睡眠质量进行评价。结果人文关怀护理后,实验组患者抑郁、焦虑量表评分较对照组低,(P<0.05)；人文关怀护理后,实验组躯体功能、认知功能、社会功能、情绪功能、角色功能、总体健康状况评分较对照组高,(P<0.05),实验组的疼痛、疲倦、恶心呕吐、气促、失眠、腹泻、食欲丧失、便秘、经济困难等评分较对照组低,差异有统计学意义(P<0.05),实验组生活质量较对照组好,(P<0.05)；实验组患者睡眠指数评分较对照组低,(P<0.05)。结论人文关怀护理能够有效降低肝癌手术患者的负性情绪,进而提高患者的生活质量。