心理护理干预对胃癌患者疼痛、情绪及睡眠的影响

葛振萍

[摘要] 目的 探讨心理护理干预对胃癌患者疼痛、情绪及睡眠的影响。 方法 选取本院2012年2月～2014年2月收治的50例胃癌患者作为观察组，所有患者均接受胃癌根治术的相关治疗，并于术后开展有效的心理干预，选取同期50例根治术治疗的胃癌患者作为对照组，仅给予临床常规护理。 结果 两组患者护理前焦虑抑郁心理、疼痛评分以及睡眠时间比较差异均无统计学意义（P>0.05），护理后观察组患者的抑郁情绪评分、焦虑情绪评分、疼痛评分、睡眠时间均显著好于对照组，差异有统计学意义（P<0.05）。 结论 胃癌患者术后疼痛、不良情绪及睡眠障碍情况多由于对疾病的恐惧所引起，手术后给予不同方向的心理护理干预，可显著降低各种不良事件的发生率，促进术后恢复，提高手术实际效果。

[关键词] 胃癌；心理护理；疼痛；不良情绪；睡眠

[中图分类号] R473.73 [文献标识码] B [文章编号] 1674-4721（2014）08（a）-0130-03

Influence of psychological nursing intervention on pain，negative emotion and sleep for patients with gastric cancer

GE Zhen-ping

Department of Surgery，People′s Hospital of Yangzhong City in Jiangsu Province，Yangzhong 212200，China

[Abstract] Objective To investigate the influence of psychological nursing intervention on the pain，negative emotion and sleep for the patients with gastric cancer after the operation. Methods 50 cases of gastric cancer patients in our hospital from February 2012 to February 2014 were selected as the observation group，and all of these patients were given relative treatment of radical gastrectomy，and given effective psychological intervention after the operation.Another 50 cases of patients with gastric cancer given the radical gastrectomy treatment at the same time were selected as the control group，and these patients were only given the conventional nursing measures. Results There were no statistical differences between the psychological anxiety and depression，pain score，and sleep time of the two patients before the nursing （P>0.05），and after the nursing，the depression score，anxiety score，pain score，sleep time in the observation group were significantly better than those of the control group，with statistical significance （P<0.05）. Conclusion The postoperative pain，negative emotion，and sleep disorder are most caused by the fear of the disease，the different psychological nursing intervention after the operation can effectively reduce the occurrence of negative issues，promote the postoperative recovery，and improve operative actual effects.

[Key words] Gastric cancer；Psychological nursing；Pain；Negative emotion；Sleep

胃癌是消化内科常见的肿瘤之一，其发病率与死亡率一直居高不下，对患者的生命安全造成严重威胁。胃癌根治术是治疗该病的首选方法，能够有效切除病灶，具有较好的短、中、远期疗效[1-2]。但手术结束后患者经常出现严重疼痛与不良心理情绪，可降低睡眠及生活质量。本研究主要针对50例手术患者进行相关的心理护理干预，探讨心理护理干预对胃癌患者疼痛、情绪及睡眠的影响。

1 资料与方法

1.1 一般资料

选取本院2012年2月～2014年2月进行根治术的100例胃癌患者为研究对象，均经病理检查确诊，将所有患者随机分为对照组与观察组，每组各50例。对照组男性29例，女性21例，年龄38～73岁，平均（51.3±4.9）岁；观察组男性28例，女性22例，年龄40～75岁，平均（52.7±4.8）岁。所有患者既往均无失眠史，且自愿参加研究并签署同意书。两组患者的基本资料差异无统计学意义（P>0.05），具有可比性。end……