针对性护理干预对胃癌术后化疗患者焦虑的影响分析

目的 癌症患者因化疗能明显提高患者生活质量，延长生存期，故目前以化疗作为主要的治疗手段。但胃癌术后化疗的患者其生存时间及生活质量仍不佳，患者身心受到极大的痛苦，焦虑状态尤为突出。本文探讨针对性护理干预对减少胃癌术后化疗患者发生焦虑状态的有效性，从而减少并发症的发生，提高临床治疗有效率。 方法 收集并分析2014年2月—2015年2月期间于海军安庆医院诊治的98例胃癌术后化疗患者的临床资料，按照不同护理方式随机分为2组(各49例)，其中对照组采用常规护理，干预组在此基础上则采用针对性护理干预，针对性护理干预分别包括认知干预、饮食干预、心理干预、环境干预、运动干预、日常生活干预这6个层面，并对患者进行随访，对比2组焦虑状态评分结果及护理满意度调查。 结果 参照Zung氏焦虑自评量表系(SAS，共20个项目)、汉密尔顿焦虑量表(HAMA，共14个项目)评估患者焦虑心理状况；2组护理后SAS、HAMA评分较护理前均有明显下降，其中干预组降低幅度显著大于对照组，组间比较均差异具有统计学意义(P＜0.05)。干预组护理满意度比对照组高，差异有统计学意义(P＜0.05)。 结论 胃癌术后辅助化疗患者采用针对性护理干预可以有效缓解其焦虑情况,提高其护理满意度。 

Influence of targeted nursing intervention on anxiety of gastric cancer patients undergoing postoperative chemotherapy

Objective The systemic chemotherapy,as an mainstay of treatment for patients with cancer,can improve the survival rate and quality of life.However,the overall survival rate and quality of life of gastric cancer patients is not satisfactory during the chemotherapy.The patients usually suffer from extreme body and mind pain,particularly the anxiety.This paper investigated the influence of targeted nursing intervention on the anxiety in gastric cancer patients with postoperative chemotherapy,so that improve clinical effectiveness and significantly decline the incidence of complication. Methods Total 98 gastric cancer patients undergoing postoperative chemotherapy in our hospital from Feb.2014 to Feb.2015 were randomly divided into control and observation group(49 cases in each group) according to the nursing methods,their clinical data were reviewed.The control group was given regular nursing care,while the research group was given targeted nursing interventions based on regular nursing care including the cognitive intervention,dietary intervention,psychological intervention,environmental interventions,exercise intervention and the intervention of daily life.The anxiety score and nursing satisfaction of the two groups were compared based on the follow up results. Results SAS and HAMA score in both groups were significantly decreased.SAS and HAMA score in the observation group were significantly lower than those of the control group,there was significant difference between the two groups(P<0.05).The nursing satisfaction of intervention group was significantly higher than that of the control groups,there was significant difference(P<0.05). Conclusion The targeted nursing intervention can effectively relieve the anxiety of gastric cancer patients with postoperative chemotherapy,and improve the nursing satisfaction.