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目的:探讨临床护理干预对普外科老年恶性肿瘤患者术后并发症、心理应激及生活质量的影响。方法:选取2013年1月-2017年12月常山县人民医院普外科收治的老年恶性肿瘤患者130例,按照护理方式不同将其分为干预组(n=65)与对照组(n=65)。采用常规护理方式对对照组进行护理,干预组在采取常规护理的基础上给予护理干预措施。经6周护理后对两组患者术后并发症发生情况、心理应激情况及生活质量情况进行记录并比较。结果:在术后并发症(血栓、胃肠功能障碍、术后感染)发生率方面,干预组与对照组比较均明显降低,差异有统计学意义(P<0.05);在焦虑自评量表(SAS)、抑郁自评量表(SDS)、汉密尔顿焦虑量表(HAMA)及汉密尔顿抑郁量表(HAMD)评分方面,干预组与对照组比较均明显降低,差异有统计学意义(P<0.05);在生活质量评分方面,与对照组比较,干预组患者上述指标均明显降低,差异具有显著性(P<0.05)。结论:对老年恶性肿瘤患者给予积极的临床护理干预措施能够有效降低术后并发症的发生率,使患者焦虑、抑郁情绪明显缓解,同时能够对患者生活质量进行明显改善。
Objective: To investigate the effect of clinical nursing intervention on postoperative complications, psychological stress and quality of life in general surgery elderly patients with malignant tumors. Methods: A total of 130 elderly patients with malignant tumors admitted to Changshan County People’s Hospital from January 2013 to December 2017 were selected and divided into intervention group (n = 65) and control group (n = 65) according to different nursing methods. . The patients in the control group were treated by the routine nursing method. The intervention group was given nursing intervention on the basis of routine nursing. After 6 weeks of nursing, the incidence of postoperative complications, psychological stress and quality of life in both groups were recorded and compared. Results: In the incidence of postoperative complications (thrombosis, gastrointestinal dysfunction, postoperative infection), the intervention group and the control group were significantly lower, the difference was statistically significant (P <0.05); anxiety self-rating scale (SAS), SDS, HAMA and HAMD scores in intervention group and control group were significantly lower than those in control group (P <0.05) ); In quality of life score, compared with the control group, the intervention group patients were significantly lower indicators, the difference was significant (P <0.05). Conclusion: The positive clinical nursing interventions for elderly patients with malignant tumors can effectively reduce the incidence of postoperative complications, relieve anxiety and depression and improve the quality of life of patients.