首页|阶梯式心理护理联合早期活动对胃癌手术后患者心理健康及胃肠功能恢复的影响

阶梯式心理护理联合早期活动对胃癌手术后患者心理健康及胃肠功能恢复的影响

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目的 探讨阶梯式心理护理联合早期活动对胃癌手术后患者心理健康及胃肠功能恢复的影响。方法 选择2020年3月至2023年1月于该院进行胃癌手术的106例患者作为研究对象,按随机数字表法分为对照组和观察组,各53例。对照组进行常规护理,观察组进行阶梯式心理护理联合早期活动。比较两组胃肠功能恢复时间、应激状态、心理健康程度和生活质量。结果 观察组胃肠功能恢复时间均较对照组短,差异有统计学意义(P<0。05);术中,两组心率(HR)、收缩压(SBP)和舒张压(DBP)均上升,但观察组低于对照组,术后两组HR、SBP、DBP均降低,且观察组低于对照组,差异均有统计学意义(P<0。05);干预后,观察组焦虑自评量表(SAS)、抑郁自评量表(SDS)分值较对照组低,癌症患者生命质量测定量表(QLICP)各维度得分均较对照组高,差异均有统计学意义(P<0。05)。结论 胃癌手术患者采取阶梯式心理护理联合早期活动,能够加快其术后胃肠功能恢复,有效降低术中的应激水平,并改善其心理健康程度,提高其生活质量。
The effect of stepped psychological care combined with early activities on mental health and gastrointestinal function recovery of patients with gastric cancer after operation
Objective To explore the effect of stepped psychological care combined with early activities on the mental health and gastrointestinal function recovery of patients with gastric cancer after operation.Methods A total of 106 patients who underwent gastric cancer surgery in our hospital from March 2020 to January 2023 were selected as the study subjects.According to the random number table method,they were divided into the control group and the observation group,with 53 cases in each group.The control group re-ceived routine care,while the observation group received stepped psychological care combined with early activ-ities.The recovery time of gastrointestinal function,stress state,mental health and quality of life were com-pared between the two groups.Results The recovery time of gastrointestinal function in the observation group were shorter than those in the control group,and the difference was statistically significant(P<0.05).During the operation,the heart rate(HR),systolic blood pressure(SBP)and diastolic blood pressure(DBP)in-creased in both groups,but the observation group was lower than the control group,with statistically signifi-cant difference(P<0.05).After the operation,HR,SBP,and DBP decreased in both groups,and the observa-tion group was lower than the control group,with a statistically significant differences(P<0.05).After inter-vention,the scores of the Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)in the obser-vation group were lower than those in the control group,and the scores of all dimensions of the Quality of Life Inventory(QLICP)for cancer patients were higher than those in the control group,with statistically signifi-cant differences(P<0.05).Conclusion The application of stepped psychological care combined with early ac-tivities in patients with gastric cancer surgery accelerate the recovery of gastrointestinal function,effectively reduce the stress level during the operation,and improve their mental health and quality of life.

Gastric cancer surgeryStepped psychological careEarly activitiesMental healthGastrointestinal function recoveryQuality of Life

葛岩、张婷、刘洁

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郑州大学附属肿瘤医院(河南省肿瘤医院)普外九病区,河南郑州 450008

胃癌手术 阶梯式心理护理 早期活动 心理健康 胃肠功能恢复 生活质量

2024

现代医药卫生
重庆市卫生信息中心

现代医药卫生

影响因子:0.758
ISSN:1009-5519
年,卷(期):2024.40(7)
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