首页|针对性心理干预和规范化疼痛护理在胃癌术后患者中的应用效果

针对性心理干预和规范化疼痛护理在胃癌术后患者中的应用效果

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目的 探讨给予胃癌术后患者针对性心理干预结合规范化疼痛护理的干预效果。方法 2021 年 2 月至2023 年 1 月,以在徐州医科大学附属医院接受手术治疗的160 例胃癌患者为研究对象,按抽签法将其分为对照组和观察组,各80 例。对照组患者在常规护理的基础上给予针对性心理干预,观察组患者在常规护理+针对性心理干预的基础上给予规范化疼痛护理。比较 2 组患者的疼痛情况、胃肠道功能恢复情况、睡眠质量和生活质量。结果 2 组在术后24h的视觉模拟评分法评分经比较,无统计学差异(P>0。05);术后3d和干预1 个月后,与同期对照组比较,观察组的上述评分均更低(P均<0。05)。与对照组比较,观察组的术后首次排气时间和肠鸣音恢复时间均更早(P均<0。05)。干预1 个月后,与对照组的匹兹堡睡眠质量指数和胃癌患者生活质量问卷各维度评分相比,观察组均更低(P均<0。05),且2 组均低于干预前(P均<0。05)。结论 给予胃癌术后患者针对性心理干预结合规范化疼痛护理,能够减轻患者的疼痛程度,促进其胃肠道功能恢复,改善其睡眠质量和生活质量。
Application effect of targeted psychological intervention and standardized pain nursing in postoperative patients with gastric cancer
Objective To explore the intervention effect of targeted psychological intervention combined with standardized pain nursing for postoperative patients with gastric cancer.Methods A total of 160 gastric cancer patients who underwent surgical treatment at the Affiliated Hospital of Xuzhou Medical University from February 2021 to January 2023 were selected as the study subjects.They were divided into a control group and an observation group according to the drawing method,with 80 cases in each group.The patients in the control group were given targeted psychological intervention on the basis of conventional care,and the patients in the observation group were given standardized pain nursing on the basis of conventional care and targeted psychological intervention.The pain status,gastrointestinal function recovery,sleep quality and quality of life were compared between the two groups.Results There was no statistically significant difference in the Visual Analogue Scale scores between the two groups at 24 hours after surgery(P>0.05).After 3 days of surgery and 1 month of intervention,compared with the control group at the same time,the above scores were lower in the observation group(both P<0.05).Compared with the control group,the observation group had earlier postoperative first exhaust time and bowel sounds recovery time(both P<0.05).After one month of intervention,compared with the Pittsburgh Sleep Quality Index and the scores of various dimensions in the Quality of Life Questionnaire of Stomach Cancer scale in the control group,the observation group had lower scores(all P<0.05),and the above scores of both groups were lower than those before intervention(all P<0.05).Conclusion Targeted psychological intervention combined with standardized pain management for postoperative patients with gastric cancer can reduce the degree of pain,promote the recovery of gastrointestinal function,and improve their sleep and quality of life.

gastric cancerpostoperativetargeted psychological interventionstandardized pain nursinggastrointestinal function

岳欣、朱小芳、孟冉

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徐州医科大学附属医院,江苏 徐州,221000

胃癌 术后 针对性心理干预 规范化疼痛护理 胃肠道功能

2024

中西医结合护理(中英文)
上海交通大学

中西医结合护理(中英文)

ISSN:2096-0867
年,卷(期):2024.10(9)