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实施人文关怀对减轻肺癌患者诊断过程中心理应激的效果研究
引用本文:徐玉斓,盛洁华,严林娟,项伟岚. 实施人文关怀对减轻肺癌患者诊断过程中心理应激的效果研究[J]. 中国实用护理杂志, 2009, 25(23): 13-14. DOI: 10.3760/cma.j.issn.1672-7088.2009.08.048
作者姓名:徐玉斓  盛洁华  严林娟  项伟岚
作者单位:浙江大学医学院附属邵逸夫医院,杭州,310016
基金项目:浙江省卫生厅研究项目 
摘    要:目的 探讨实施人文关怀护理对缓解肺癌患者诊断过程中心理应激状态的效果.方法 将40例疑诊肺癌需住院确诊患者按照入院先后顺序分为实验组和对照组各20例.对照组患者入院后接受常规的治疗和护理,实验组在此基础上接受人文关怀的护理干预.采用心理行为评定量表分别对入院时和确诊后2 d内2组患者的焦虑和抑郁状况进行测试评分,并与国内常模进行比较,采用t检验.结果 入院时2组患者总体焦虑、抑郁评分均显著高于常模,但入院时2组间焦虑、抑郁评分比较差异不明显.确诊后2 d内实验组患者的焦虑、抑郁评分均显著低于对照组.结论 肺癌患者诊断过程中存在明显的焦虑抑郁心理,实施人文关怀护理可以有效减轻患者的心理应激反应.

关 键 词:肺癌  护理人文关怀  焦虑  抑郁

Study of humanistic care to release psychological stress in lung cancer patients during diagnostic process
XU Yu-lan,SHENG Jie-huo,YAN Lin-juan,XIANG Wei-lan. Study of humanistic care to release psychological stress in lung cancer patients during diagnostic process[J]. Chinese Journal of Practical Nursing, 2009, 25(23): 13-14. DOI: 10.3760/cma.j.issn.1672-7088.2009.08.048
Authors:XU Yu-lan  SHENG Jie-huo  YAN Lin-juan  XIANG Wei-lan
Abstract:Objective To explore the influence of humanistic care on psychological stress in diag-nostic process for patients with lung cancer. Methods 40 suspicious lung cancer patients were divided into the experimental group and the control group according to admission sequence. The control group ac-cepted routine care, the experimental group received humanistic care based upon routine care. Zung's self-rating anxiety scale(SAS) and self- rating depression scale(SDS) were applied in two groups at admission day and 2 days post- diagnosis, the results underwent comparison with norm using t test. Results On ad-mission day 2 groups showed no significant difference in SAS and SDS, 2 days post- diagnosis the SAS and SDS score were evidently lower than those of the control group. Conclusions Lung cancer patients were in anxiety and depression condition during diagnostic process, and humanistic care could effectively relieve their psychological stress.
Keywords:Lung cancer  Humanistic care  Anxiety  Depression
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