中国临床心理学杂志

延续心理护理对脑肿瘤患者及家属负性情绪的影响

作者：肖宁¹ 2 朱丹¹ 肖水源¹

单位：1. 中南大学公共卫生学院长沙 410078
2. 解放军第169医院护理部衡阳 421002

分类号：R395.5

出版年,卷(期):页码：2014,22(2):373-376

摘要：

目的:探讨延续心理护理对脑肿瘤患者及其家属情绪的影响。方法:采用非同期临床对照试验将162例脑肿瘤出院患者及其家属分为对照组和干预组,对照组仅对患者实施电话随访,干预组在此基础上对患者及家属实施延续心理护理。使用焦虑自评量表(SAS)、抑郁自评量表(SDS)测量患者及家属的负性情绪,并对患者治疗依从性及癫痫发作情况进行比较。结果:干预组患者及家属在延续心理护理实施后第14天、第28天、第3个月SAS、SDS评分显著低于对照组(P<0.05);干预组实施干预后患者及家属SAS、SDS评分显著低于出院时评分(P<0.05),干预组患者治疗依从性显著高于对照组(P<0.05),癫痫发作情况显著低于对照组(P<0.05)。结论:延续心理护理能有效减轻脑肿瘤患者及其家属焦虑抑郁情绪。

Objective: To explore the effect of continuous psychological nursing on negative emotion in patients with brain tumors and their family members. Methods: Using the controlled clinical trials, 162 patients with brain tumor and their families was divided into control group and observation group. The control group was only recieved follow-up telephone interview, the observation group were received continuous psychological nursing their families. Self-evaluation of anxiety scale(SAS) and depression self rating scale(SDS) were used to measure negative emotions, and treatment adherence and seizures were also investigated. Results: Seizures, SAS and SDS score was significantly lower in observation group at follow-up 14th day, 28th day and 3 months, compared to the control group( P <0.05); With-group comparison showed that observation group had significantly lower SAS and SDS score after discharge at follow-up 14th day, 28th day and 3 months( P < 0.05), meanwhile, treatment adherence in the observation group is significantly higher than that in the control group( P < 0.05). Conclusion: Continuous psychological nursing can effectively relieve anxiety and depression in patients with brain tumor and their families after discharge.

基金项目：

2013年度湖南省医药卫生科研计划课题(B2013-056)

作者简介：

参考文献：

1 肖宁，肖水源，彭立辉，等. 疾病认知干预对减轻脑肿瘤患者及其家属焦虑抑郁情绪的作用. 中国临床心理学杂志，2009，17(2)：250-252
2 Keir ST, Guill AB, Friegman HS, et al. Stress and intervention preferences of patients with brain tumors. Support Care Cancer, 2006, 14(12): 1213-1219
3 Mainio A, Hakko H, Rasanen P, et al. Depression in relation to survival among neurosurgical patients with a primary brain tumor: A 5-year followup study. Neurosurgery, 2005, 56 (6): 1234-1241
4 Wagner CD, Bigatti SM, Storniolo AM. Quality of life of husbands of women with breast cancer. Psycho-Oncology, 2005, 15(2): 109-120
5 俞桃英. 护士对出院病人实施电话随访的体会. 中华护理杂志，2006，41(3)：246-247
6 张明园. 精神科评定量表手册. 长沙：湖南科学技术出版社，1998. 35-42
7 Brooten D, Naylor MD, York R. Lessons learned form testing the quality cost model of advanced practice nursing (APN) transitional care. Journal of Nursing Scholarship, 2002, 34(4): 369-375
8 Saultz JW, Albedaiwi W. Interpersonal continuity of care and patient satisfaction：A critical review. Annals of Family Medicine, 2004, 2(5): 445-451
9 李善玲，刘清华，黄萍. 脑卒中患者出院后的亲情化延续护理. 护理学杂志，2011，26(3)：74-75
10 孙习铮，石玉兰，毕月斋. 家庭随访对心肌梗死患者生活质量的影响. 护理实践与研究，2007，4(6)：87-88
11 黎水莲，罗秋萍，苏飞群，等. 出院随访对糖尿病血糖控制的影响. 广西医科大学学报，2006，23(4)：635
12 耿笑微，陆虹，刘宇. 产后家庭角色适应状况调查研究. 护理学杂志，2006，21(4)：4-7
13 林平，高丽红，赵振娟. 冠心病患者介入治疗后远期生存质量研究. 护理学杂志，2009，24(3)：27-28
14 王若萍. 下肢骨折术后膝关节功能的康复护理. 中国康复，2000，15(1)：52-53
15 覃桂荣. 出院患者延续护理的现状及发展趋势. 护理学杂志，2009，27(3)：89-91
16 汪波，彭娟. 恶性肿瘤患者心理卫生状况分析. 中国心理卫生杂志，2003，17(6)：387
17 Boult C, Reider L, Frey K, et a1. Early effects of“guided care” on the quality of health care for multimorbid older persons: A cluster-randomized controlled trial. Journal of Gerontology: Medical Sciences, 2008, 63(3): 321-327
18 Wolff JL, Rand-Giovannetti E, Palmer S, et al. Caregiving and chronic care: The guided care program for families and friends. Journal of Gerontology Series A: Biological Sciences and Medical Sciences, 2009, 64A(7): 785-791
19 Sylvia ML, Griswold M, Dunbar L, et a1. Guided care cost and utilization outcomes in a pilot study. Disease Management, 2008, 11(1): 29-36

服务与反馈：

【文章下载】【加入收藏】