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目的:研究结肠造口病人的心理状况与护理对策。方法:选取丰顺县人民医院2014年5月至2016年5月低位直肠癌行结肠造口术治疗的80例患者,随机分为对照组和观察组各40例,观察两组患者在围手术期的不同阶段的心理状况,对照组按照常规方法进行护理支持,未给予心理支持;观察组则在对患者常规护理的基础上积极采取一系列人性化的、有针对性的心理支持。结果:两组结肠造口患者不同阶段焦虑、抑郁评分均显著高于正常人,提示存在焦虑、抑郁等心理问题;经心理干预治疗后,观察组患者的焦虑及抑郁评分均明显低于对照组,差异具有统计学意义(P<0.05)。经心理干预护理后,两组患者护理满意度组间差异明显。观察组护理满意度为97.5%,显著高于对照组的70.0%,差异具有统计学意义(P<0.05)。结论:(1)结肠造口患者在不同阶段均存在不同程度的焦虑、抑郁等心理问题。(2)根据结肠造口患者心理情况采取各种心理护理,不仅能够改善造口病人的治疗依从性,减少和减轻患者的心理负担,有效提升患者对护理工作的满意度,提高患者生活质量,而且带来很好的社会及经济效益。
Objective: To study the psychological status and nursing countermeasures of colostomy patients. Methods: A total of 80 patients with colorectal cancer treated with low rectal cancer from May 2014 to May 2016 in Fengshun County were selected and randomly divided into control group and observation group of 40 cases. The patients in the two groups were treated by perioperative The psychological status of different stages of the period, the control group in accordance with the conventional method of nursing support, did not give psychological support; observation group is based on the routine care of patients to actively take a series of humane, targeted psychological support. Results: The scores of anxiety and depression in two stages of colostomy patients were significantly higher than those in normal subjects, suggesting psychological problems such as anxiety and depression. After psychological intervention, anxiety and depression scores in observation group were significantly lower than those in control group , The difference was statistically significant (P <0.05). After psychological intervention nursing care satisfaction between the two groups was significantly different between groups. The nursing satisfaction of the observation group was 97.5%, which was significantly higher than that of the control group (70.0%), the difference was statistically significant (P <0.05). Conclusion: (1) Patients with colostomy at different stages have different levels of anxiety, depression and other psychological problems. (2) According to the psychological conditions of patients with colostomy take a variety of psychological care, not only can improve the treatment compliance of patients with stoma, reduce and reduce the psychological burden on patients, effectively improve patient satisfaction with nursing, improve patient quality of life, And bring good social and economic benefits.