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目的探讨强化心理护理和健康指导对晚期胃癌患者焦虑、抑郁情绪和生活质量的改善效果。方法将108例晚期胃癌患者随机分成观察组与对照组,每组54例。对照组患者给予常规护理,观察组患者在常规护理基础上强化心理护理和健康指导,两组患者均观察4周,分别以焦虑自评量表(SAS)、抑郁自评量表(SDS)评价两组患者护理前后焦虑、抑郁评分,分别采用癌症患者生命质量测定量表(EORTC QLQ-C30)癌症患者生活质量核心量表评价两组患者护理前后生活质量。结果两组患者在护理前SAS,SDS和EORTC QLQ-C30评分,组价无明显差异(P>0.05)。护理4周后,两组患者的SAS,SDS评分均降低,EORTC QLQ-C30评分均升高(P<0.05),且观察组SAS、SDS评分显著低于对照组(P<0.05);EORTC QLQ-C30各维度评分均显著高于对照组(P<0.05)。结论对晚期胃癌患者进行强化心理护理和健康指导,有助于更好地缓解焦虑、抑郁情绪,从而提高生活质量。
Objective To investigate the effects of intensive psychological nursing and health guidance on anxiety, depression and quality of life in patients with advanced gastric cancer. Methods 108 patients with advanced gastric cancer were randomly divided into observation group and control group, 54 cases in each group. The patients in the control group were given routine nursing care. The patients in the observation group were given psychological nursing and health guidance on the basis of routine nursing care. The patients in both groups were observed for 4 weeks. The self-rating anxiety scale (SAS), depression self-rating scale (SDS) The anxiety and depression scores of two groups of patients before and after nursing care were evaluated by using the quality of life scale of cancer patients’ quality of life scale (EORTC QLQ-C30) to evaluate the quality of life before and after treatment. Results There was no significant difference in SASQ, SDS and EORTC QLQ-C30 score between two groups before treatment (P> 0.05). After 4 weeks of nursing, SAS and SDS scores of both groups decreased, EORTC QLQ-C30 scores increased (P <0.05), SAS and SDS scores of the observation group were significantly lower than those of the control group (P <0.05); EORTC QLQ The scores of each dimension of -30 were significantly higher than that of the control group (P <0.05). Conclusions Intensive psychological nursing and health guidance for patients with advanced gastric cancer help to better relieve anxiety and depression and improve their quality of life.