刘　蕾西安市红会医：骨病肿瘤科，陕西西安710054

针对性护理对骨肿瘤患者化疗期间焦虑、抑郁情绪及应对方式的影响

刘蕾
西安市红会医：骨病肿瘤科，陕西西安710054

目的探讨针对性护理对骨肿瘤患者化疗期间焦虑、抑郁情绪及应对方式的影响情况。方法分析2012年2月～2016年1月西安市红会医：收治的150例骨肿瘤患者的临床资料，依据患者情绪应对方式不同进行分组，采用常规护理的对照组（70例）和采用针对性护理的针对性护理组（80例）。观察两组患者护理前后焦虑、抑郁情绪评分和社会支持评分情况。结果护理后对照组患者焦虑[（45.9±3.5）分]、抑郁情绪[（51.1±3.6）分]、客观支持[（12.1±2.0）分]、主观支持[（26.2±2.1）分]、支持利用度[（8.8±1.6）分]评分及社会支持总分[（47.1±2.9）分]均优于护理前[（54.6±3.7）、（55.4±4.2）、（10.1±1.9）、（23.3±2.2）、（7.7±2.0）、（44.0±2.6）分]，差异均有统计学意义（P＜0.05）；护理后针对性护理组患者焦虑[（40.2±3.1）分]、抑郁情绪[（47.4±3.8）分]、客观支持[（13.8±2.1）分]、主观支持[（28.9± 2.5）分]、支持利用度[（9.9±1.8）分]评分及社会支持总分[（49.9±3.0）分]均优于护理前[（55.1±3.9）、（56.0±4.4）、（9.9± 2.0）、（24.0±2.3）、（7.8±1.9）、（44.2±2.8）分]，差异均有统计学意义（P＜0.05）；针对性护理组患者护理后焦虑、抑郁情绪评分、客观支持、主观支持、支持利用度、社会支持总分均优于对照组（P＜0.05）。针对性护理组护理后并发症发生率（12.5%）低于对照组（35.7%），差异有统计学意义（P＜0.05）。结论骨肿瘤患者化疗期间给予针对性护理措施，可以改善焦虑、抑郁情绪，降低护理后并发症，值得临床推广应用。

骨肿瘤曰化疗期间曰焦虑曰抑郁曰应对方式

[Abstract]Objective To approach inf1uence of anxiety,depressed emotion and coping sty1e for bone tumour patients in the chemotherapy period by targeted nursing.Methods C1inica1 data of 150 cases with bone tumour in Red Cross Hospita1 of Xi′an City from February 2012 to January 2016 were ana1yzed,which were divided into two groups by different emotiona1 responses,patients of contro1 group were given routine nursing(70 cases),patients of targeted nursing group were given targeted nursing(80 cases).The anxiety,depressed emotion and socia1 support score of two groups were observed.Results The anxiety,depressed emotion,objective support,subjective support,supported avai1abi1ity score,and socia1 support tota1 score of two groups before nursing had no statistica11y significant difference(P＞0.05);the anxiety [(45.9±3.5)scores],depressed emotion[(51.1±3.6)scores],objective support[(12.1±2.0)scores],subjective support [(26.2±2.1)scores],supported avai1abi1ity[(8.8±1.6)scores]score,and socia1 support tota1 score[(47.1±2.9)scores]of the contro1 group after nursing were better than those before treatment[(54.6±3.7),(55.4±4.2),(10.1±1.9),(23.3±2.2), (7.7±2.0),(44.0±2.6)scores],the differences were statistica1 significance(P＜0.05);the anxiety[(40.2±3.1)scores],depressed emotion[(47.4±3.8)scores],objective support[(13.8±2.1)scores],subjective support[(28.9±2.5)scores],supported avai1abi1ity score[(9.9±1.8)scores],and socia1 support tota1 score[(49.9±3.0)scores]of the targeted nursing group after nursing were better than those before treatment[(55.1±3.9),(56.0±4.4),(9.9±2.0),(24.0±2.3),(7.8±1.9), (44.2±2.8)scores],the differences were statistica1 significance(P＜0.05);scores of the anxiety,depressed emotion,objective support,subjective support,supported avai1abi1ity,and socia1 support tota1 of targeted nursing group after nursing were better than those of the contro1 group(P＜0.05);the comp1ications rate of targeted nursing group(12.5%)after nursing was 1ower than contro1 group(35.7%),the difference was statistica1 significance(P＜0.05).Conclusion Corresponding nursing measures during the period of chemotherapy can improve anxiety and depressed of patients with bone tumour,decrease the comp1ication after chemotherapy,it is worthy of c1inica1 app1ication.

[Key words]Bone tumour;Chemotherapy period;Anxiety;Depressed;Coping sty1e

骨肿瘤被绝大多数人认为是一种不治之症，一旦确诊后，患者可能迅速进展直到死亡[1-2]。一些骨肿瘤患者在获得医学诊断之后，往往会呈现一种压力情境，感受到强烈的精神刺激，进而出现严重的心理应激性反应，从而出现焦虑、抑郁等情绪应激和非适应性行为[3-4]。……