术后护理联合心理护理对脑胶质瘤患者负面情绪及生活质量的影响观察

目的 研究分析术后护理联合心理沟通干预对脑胶质瘤患者的负面情绪及生活质量的影响。 方法 此次研究对象是选择 2018年 2月～ 2020年 2月脑胶质瘤患者 96例，将其临床资料进行回顾性分析，并采用随机数字表法分为观察组与对照组，各 48例，对照组于术后实施常规护理，观察组在对照组的基础上加用心理沟通干预。比较两组患者的护理效果。 结果 干预后，观察组不良反应发生率为 10.4%，明显低于对照组不良反应发生率 29.2%（ χ2=9.365， P<0.05）；观察组疼痛改善程度明显优于对照组（ χ2=10.134、 8.467、 11.472， P<0.05）；干预后观察组 SAS 与 SDS评分均明显低于对照组（ t=6.841、 6.135， P<0.05）；观察组生活质量（躯体功能、社会功能、认知功能）评分均明显高于对照组（ t=5.478、 5.113、 6.636， P<0.05）；观察组患者护理滿意度为 97.9%，明显高于对照组患者护理满意度 83.3%（ χ2=8.461， P<0.05）。 结论 对脑胶质瘤患者术后实施护理联合心理沟通干预，可有效降低术后并发症，缓解术后疼痛，减轻焦虑心理，改善生活质量，提高患者的护理满意度。  　　 [关键词 ] 术后护理；心理沟通；脑胶质瘤；生活质量  [Abstract] Objective To study and analyze the influence of postoperative nursing combined with psychological communication intervention on the negative emotions and quality of life of patients with glioma. Methods 96 patients with gliomas from February 2018 to February 2020 were selected for this study. The clinical data were analyzed retrospectively. The patients were divided into observation group and control group, 48 cases in each group. The control group was given routine nursing after operation, and the observation group was given psychological communication intervention on the basis of the control group. The nursing effect of the two groups was compared. Results after intervention, the incidence of adverse reactions in the observation group was 10.4%, significantly lower than that in the control group (29.2%) (χ 2 = 9.365, P < 0.05); the improvement of pain in the observation group was significantly better than that in the control group (χ 2 = 10.134, 8.467, 11.472, P < 0.05); the SAS in the intervention observation group And SDS scores were significantly lower than those of the control group (t = 6.841, 6.135, P < 0.05); the quality of life (physical function, social function, cognitive function) scores of the observation group were significantly higher than those of the control group (t = 5.478, 5.113, 6.636, P < 0.05); the nursing satisfaction of the observation group was 97.9%, significantly higher than that of the control group (χ 2 = 8.461, P < 0.05). Conclusion nursing combined with psychological communication intervention can effectively reduce postoperative complications, relieve postoperative pain, reduce anxiety, improve quality of life, and improve patients' nursing satisfaction.

• 作者: 丛晓强
• 出处: 《世界复合医学》 2020年9期
• 分类: [医药卫生][临床医学]