护理访视和健康宣教对乳腺癌根治术患者焦虑的影响
Influenc of nursing interview and health education on patients' anxiety after radical mastectomy
目的 探讨手术室护士的访视和健康宣教对乳腺癌根治术患者焦虑状况改善的作用.方法 将60例乳腺癌根治术患者随机分成观察组和对照组各30例.对观察组在围手术期护理的基础上,由手术室护士施行访视和健康宣教;对照组则按传统方式对患者进行常规的围手术期护理.应用焦虑自评量表(SAS),于患者入院后第2天,术前1d及术后第4天进行心理状况测试.结果 与全国常模相比,2组患者术前均存在着明显的焦虑情绪;术前1d的SAS评分结果显示观察组的焦虑分值较入院第2天显著降低,而对照组则显著升高,2组比较差异有统计学意义(P<0.05);术后第4天SAS测评结果显示,2组均有不同程度的下降,但观察组与对照组间相比差异仍有统计学意义(P<0.05).结论 手术室护士有针对性的访视和健康宣教能有效降低乳腺癌根治术患者的焦虑程度,使患者以较好的心理状态接受手术.
更多Objective We discussed the anxiety alleviation effect of nursing interview and health education on patients after radical mastectomy. Methods We divided 60 patients underwent radical mastectomy into the observation group and the control group with 30 cases in each group. The observation group was given nursing interview and health education based upon perioperative nursing. The control group received routine perioperative nursing. Self-rating anxiety scale (SAS) was adopted to assess the psychological status on the second day after admission, one day before operation and the 4th day after operation. Results Evident anxiety existed in the two groups compared with normal control. The SAS score one day before operation decreased compared with that of two days after admission in the observation group. But the control group showed reverse results compared with the observation group (P < 0.05). The SAS score 4 days after operation dropped evidently in the two groups. But difference still existed in the two groups (P<0.05). Conclusions Nursing interview and health education could decrease patients' anxiety after radical mastectomy and made them to receive the operation in a good psychological status.
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