全程化護理模式對直腸癌造口患者心理狀態(tài)影響的研究
發(fā)布時間：2018-11-06 20:20
【摘要】：目的：探討直腸癌造口患者的焦慮狀況及相關影響因素,同時在全程化護理模式下,協(xié)助手術患者建立有效的應對方式,以減少焦慮情緒對低位直腸癌行造口手術的患者手術治療及康復的不利影響,提高護士心理護理的水平和護理質(zhì)量,建立標準化和共性化相結(jié)合的護理模式,形成造口患者全程化護理流程,在護理工作中推廣。方法：選取山東大學齊魯醫(yī)院普外科擬行造口手術的低位直腸癌患者為研究對象,連續(xù)入組161人。采用隨機對照的方法,將全部被試分常規(guī)護理組(n=78人)和全程化護理組(n=83人)。全程化護理組在常規(guī)護理基礎上,采用治療性溝通系統(tǒng)模式進行全程化護理,分別在術后第一日和出院前一日使用狀態(tài)焦慮問卷和特質(zhì)應對方式問卷對兩組患者進行評估,分析比較普通護理模式和全程化護理模式對腸造口患者心理狀態(tài)和應對方式的影響。結(jié)果：1、直腸癌患者行造口手術后,全部伴發(fā)焦慮情緒,發(fā)生率為100%,焦慮得分為54.34士9.53,直腸癌患者應對方式與焦慮情緒密切相關。直腸癌患者焦慮程度與應對方式有明顯相關性(P0.01),與積極應對呈負相關,與消極應對呈正相關。2、直腸癌造口患者焦慮發(fā)生率與年齡,文化程度,經(jīng)濟狀況,職業(yè)類別,家庭所在地,醫(yī)療費用支付類別,主要照顧者之間沒有明顯相關性(P0,05)。3、干預前,直腸癌患者全程化護理模式組與常規(guī)護理組的一般資料組間差異無統(tǒng)計學意義(P0.05);干預后兩組間的焦慮得分的差異具有統(tǒng)計學意義(P0.01);干預后的全程化護理模式組焦慮和特質(zhì)應對方式得分與干預前的得分之間差異具有統(tǒng)計學意義(P0.01);結(jié)論及意義：1、直腸癌造口患者焦慮發(fā)生率較高,臨床護理工作者注意給予關注。2、直腸癌造口患者焦慮情緒與應對方式密切相關。3、本研究提出在全程化護理模式下協(xié)助患者構(gòu)建有效應對方式是可行的,對緩解直腸癌造口患者焦慮情緒是有效的。
[Abstract]:Objective: to explore the anxiety status and related influencing factors of patients with rectal cancer, and to assist the patients with operation to establish effective coping style under the mode of holistic nursing. In order to reduce the adverse effects of anxiety on the surgical treatment and rehabilitation of patients with low rectal cancer, to improve the level and quality of nurses' psychological nursing, and to establish a standardized and common nursing model. To form the whole nursing process of patients with ostomy and popularize it in nursing work. Methods: 161 patients with low rectal cancer were selected from general surgery department of Qilu Hospital of Shandong University. All subjects were divided into routine nursing group (n = 78) and holistic nursing group (n = 83). On the basis of routine nursing, holistic nursing was carried out by using therapeutic communication system model. State anxiety questionnaire and trait coping style questionnaire were used to evaluate the two groups respectively on the first day after operation and the day before discharge. To analyze and compare the influence of general nursing mode and holistic nursing mode on psychological state and coping style of enterostomy patients. Results: 1. All patients with rectal cancer were accompanied by anxiety, the incidence was 100, and the anxiety score was 54.34 鹵9.53. The coping style of rectal cancer patients was closely related to anxiety. There was a significant correlation between anxiety level and coping style in rectal cancer patients (P0.01), negative correlation with positive coping style and positive correlation with negative coping style. There was no significant correlation between occupational category, family location, medical expense payment category, and primary caregivers (P005). 3, before intervention, There was no significant difference in general data between the group of holistic nursing and the group of routine nursing (P0.05). There were significant differences in anxiety scores between the two groups after intervention (P0.01), between anxiety and trait coping style scores of holistic nursing model group after intervention and pre-intervention scores (P0.01). Conclusion and significance: 1. The incidence of anxiety in patients with rectal cancer ostomy is high, and attention should be paid by clinical nursing workers. 2. Anxiety in patients with rectal cancer ostomy is closely related to coping style. This study suggests that it is feasible to assist patients to construct effective coping style and to relieve anxiety in patients with rectal cancer under the mode of holistic nursing.
【學位授予單位】：山東大學
【學位級別】：碩士
【學位授予年份】：2015
【分類號】：R473.73
[Abstract]:Objective: to explore the anxiety status and related influencing factors of patients with rectal cancer, and to assist the patients with operation to establish effective coping style under the mode of holistic nursing. In order to reduce the adverse effects of anxiety on the surgical treatment and rehabilitation of patients with low rectal cancer, to improve the level and quality of nurses' psychological nursing, and to establish a standardized and common nursing model. To form the whole nursing process of patients with ostomy and popularize it in nursing work. Methods: 161 patients with low rectal cancer were selected from general surgery department of Qilu Hospital of Shandong University. All subjects were divided into routine nursing group (n = 78) and holistic nursing group (n = 83). On the basis of routine nursing, holistic nursing was carried out by using therapeutic communication system model. State anxiety questionnaire and trait coping style questionnaire were used to evaluate the two groups respectively on the first day after operation and the day before discharge. To analyze and compare the influence of general nursing mode and holistic nursing mode on psychological state and coping style of enterostomy patients. Results: 1. All patients with rectal cancer were accompanied by anxiety, the incidence was 100, and the anxiety score was 54.34 鹵9.53. The coping style of rectal cancer patients was closely related to anxiety. There was a significant correlation between anxiety level and coping style in rectal cancer patients (P0.01), negative correlation with positive coping style and positive correlation with negative coping style. There was no significant correlation between occupational category, family location, medical expense payment category, and primary caregivers (P005). 3, before intervention, There was no significant difference in general data between the group of holistic nursing and the group of routine nursing (P0.05). There were significant differences in anxiety scores between the two groups after intervention (P0.01), between anxiety and trait coping style scores of holistic nursing model group after intervention and pre-intervention scores (P0.01). Conclusion and significance: 1. The incidence of anxiety in patients with rectal cancer ostomy is high, and attention should be paid by clinical nursing workers. 2. Anxiety in patients with rectal cancer ostomy is closely related to coping style. This study suggests that it is feasible to assist patients to construct effective coping style and to relieve anxiety in patients with rectal cancer under the mode of holistic nursing.
【學位授予單位】：山東大學
【學位級別】：碩士
【學位授予年份】：2015
【分類號】：R473.73
【參考文獻】
相關期刊論文 前8條
1 胡家群;;應用狀態(tài)特質(zhì)焦慮問卷對結(jié)腸鏡檢查患者焦慮的調(diào)查分析[J];中國健康心理學雜志;2011年11期
2 何小梅,付饒,黃玉清,肖紅英,馮爽;腸癌患者心理健康和家庭社會功能與生活質(zhì)量的多因素分析[J];中國臨床康復;2005年28期
3 伍雪冰,卜淑娟,方文,梁繼娟;社會支持對腸造口患者抑郁狀況的影響[J];現(xiàn)代臨床護理;2004年04期
4 韓靜;劉均娥;孟潔;張義玲;;癌癥患者心理困擾程度及相關原因分析[J];中華護理雜志;2008年06期
5 蘇茜;王維利;;治療性溝通系統(tǒng)在消化系統(tǒng)惡性腫瘤患者術前焦慮中的運用[J];中華護理雜志;2010年10期
6 陶炯,葉明志,易歡瓊,溫盛霖,王相蘭;癌癥患者的心身狀況及心理干預[J];中山大學學報(醫(yī)學科學版);2005年05期
7 張俊娥,鄭美春,葉新梅;結(jié)腸造口早期患者的自尊和社會支持評估分析[J];中國心理衛(wèi)生雜志;2004年01期
8 封丹s，
本文編號：2315362
本文鏈接：http://sikaile.net/huliyixuelunwen/2315362.html
最近更新
教材專著
