心理护理对介入治疗围手术期肝癌患者焦虑抑郁水平影响的临床对照研究

摘要

Objective To explore the effect of the psychological nursing on the anxiety and depression levels for perioperative management of interventional therapy in liver cancer patients. Methods A retrospective analysis was conducted in 40 liver cancer pa=tients who were diagnosed ky the department of interventional medicine of Chengdu Second Pe opleˊs Hospital ketween the time period of June 2010 to April 2014,and the patients were divided to 20 patients of control group and 20 cases of study group kased on whether the psychological nursing intervention was conducted. The control group received normal nursing and general health education,while the study group received 6 weeds of psychological nursing intervention,in addition to the normal nursing practice. All the patients were e=valuated for depression and anxiety with Self-rating Depression Scale( SDS),Self-rating Anxiety Scale( SAS)at the kase line and 6 weeds after the intervention. Results The levels of SDS and SAS were not significantly different kefore the intervention(P﹥0. 05). While the scales of SDS,SAS were significantly lower in study group compared to those in control group after 6 weeds of intervention (P﹤0. 01). After the treatment,Each group shows significant difference compared with their kefore-treatment scales(P﹤0. 01). Conclusion Psychological nursing intervention could relieve the symptoms of depressive and anxious emotion during the perioperative management of interventional therapy in liver cancer patients.%目的探讨心理护理对介入治疗围手术期肝癌患者焦虑、抑郁水平的影响。方法以2010年6月-2014年4月在成都市第二人民医院介入科确诊的40例肝癌患者为研究对象，按照是否接受心理护理分为干预组和对照组各20例。对照组给予常规护理和一般健康教育，遵医嘱给予止痛药物，干预组除了常规护理外，实施了6周的心理干预。采用抑郁自评量表（ SDS）和焦虑自评量表（ SAS）分别于干预前后测评两组的焦虑、抑郁水平。结果干预前两组SAS和SDS评分差异无统计学意义（P﹥0.05）；干预6周后，干预组SAS和SDS评分均较对照组低，差异有统计学意义（P﹤0.01）。同组治疗前后SAS和SDS评分比较差异均有统计学意义（P﹤0.01）。结论心理干预可能有助于缓解介入治疗围手术期肝癌患者的焦虑、抑郁症状。