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目的探究心理支持护理联合健康促进在胃肠肿瘤患者中的应用。方法选取2013年7月至2016年7月间江苏省东台市三仓人民医院收治的90例胃肠道肿瘤患者,采用随机数字表法分为观察组与对照组,每组45例。对照组患者给予常规护理,观察组患者在对照组基础上加用心理支持护理联合健康促进,对比两组患者的焦虑抑郁情绪、癌因性疲乏程度及生活质量。结果护理后,两组患者焦虑和抑郁评分与护理前比较均降低,且观察组降低更显著,差异均有统计学意义(均P<0.05)。护理后,两组患者躯体疲乏、情感疲乏及认知疲乏评分与护理前比较均降低,且观察组降低更显著,差异均有统计学意义(均P<0.05)。护理后,观察组患者生活质量各指标角色功能、躯体功能、心理功能及社会功能评分与对照组比较均较高,差异均有统计学意义(均P<0.05)。结论在常规护理基础上加用心理支持护理联合健康促进,可有效缓解患者的焦虑抑郁情绪,降低疲乏程度,改善生活质量。
Objective To explore the application of psychological supportive care and joint health promotion in patients with gastrointestinal cancer. Methods Totally 90 patients with gastrointestinal cancer admitted to Tachai People’s Hospital of Dongtai, Jiangsu Province from July 2013 to July 2016 were randomly divided into observation group and control group with 45 cases in each group. Patients in the control group were given routine nursing care. Patients in the observation group were given psychological supportive care combined with health promotion on the basis of the control group. The anxiety and depression, cancer-related fatigue and quality of life were compared between the two groups. Results After nursing, the scores of anxiety and depression in both groups were lower than those before nursing, and the reduction in the observation group was more significant with statistical significance (all P <0.05). After nursing, physical fatigue, emotional exhaustion and cognitive fatigue scores of both groups decreased compared with that before nursing, and the observation group decreased more significantly, the differences were statistically significant (all P <0.05). After nursing, the scores of quality of life, body function, mental function and social function in observation group were higher than those in control group (all P <0.05). Conclusion Based on routine nursing, combined with psychological support and joint health promotion, it can effectively alleviate the anxiety and depression, reduce the degree of fatigue and improve the quality of life.