临床护理路径模式对直肠癌永久性肠造口患者抑郁和焦虑情绪的影响

目的:探讨临床护理路径模式对直肠癌肠造口患者抑郁和焦虑情绪的影响。方法:选取2017年1月—2018年12月南京医科大学第一附属医院收治的100例直肠癌肠造口患者,采用随机数字表法分为对照组与观察组,各50例,两组患者均接受常规护理,观察组在常规护理的基础上进行临床护理路径模式干预。采用患者健康问卷抑郁量表(PHQ-9)和广泛性焦虑评定量表(GAD-7)评估两组患者干预前后抑郁与焦虑情况。结果:干预前两组患者的PHQ-9评分比较,差异无统计学意义(t=0.116,P=0.908);干预后,干预组的PHQ-9评分低于对照组(t=6.083,P<0.01),且较干预前降低(t=7.676,P<0.01)。干预前两组患者的GAD-7评分比较,差异无统计学意义(t=0.227,P=0.821);干预后,干预组的GAD-7评分低于对照组(t=9.249,P<0.01);两组干预后的GAD-7评分均较干预前降低(P<0.01)。结论:临床护理路径模式的应用可以有效改善直肠癌肠造口患者的抑郁及焦虑情绪。

Effects of clinical nursing path model on depression and anxiety among rectal cancer patients with permanent intestinal stoma

Objective To explore the effects of clinical nursing path model on depression and anxiety among rectal cancer patients with stoma.Methods From January 2017 to December 2018,this study selected 100 rectal cancer patients with stoma in the First Affiliated Hospital of Nanjing Medical University.All of patients were randomly divided into control group and intervention group with the method of random number table,50 cases in each group.Patients of two groups all received routine nursing.On the basis of routine nursing,observation group carried out the intervention based on the clinical nursing path model.Depression and anxiety before and after intervention was assessed with the Patient Health Questionnaire-9(PHQ-9)and the Generalized Anxiety Disorder-7(GAD-7).Results Before intervention,there was no statistical difference in the scores of PHQ-9 of patients between two groups(t=0.116,P=0.908).After intervention,the score of PHQ-9 of intervention group was lower than that of control group with a statistical difference(t=6.083,P<0.01),and lower than that before intervention also with a statistical difference(t=7.676,P<0.01).Before intervention,there was no statistical difference in the scores of GAD-7 patients between two groups(t=0.227,P=0.821).After intervention,the score of GAD-7 of intervention group was lower than that of control group with a statistical difference(t=9.249,P<0.01);scores of GAD-7 of two groups were lower than that before intervention also with statistical differences(P<0.01).Conclusions Application of clinical nursing path model can effectively improve depression and anxiety of rectal cancer patients with stoma.