余秀芸

[摘要]目的 探討心理干预在胃大部分切除的胃癌患者护理中的作用。方法 选取2014年7月～2016年5月在我院行胃大部切除术的90例胃癌患者作为研究对象，依照患者住院号奇偶数将其分为两组，每组各45例。对照组患者采用常规护理，观察组患者在对照组基础上加以心理护理。比较两组患者的心理状态、术后并发症及生活质量。结果 观察组患者的SDS、SAS评分均低于对照组，差异有统计学意义（P<0.05）；观察组患者术后并发症发生率低于对照组，差异有统计学意义（P<0.05）；观察组患者生活质量各指标评分均高于对照组，差异有统计学意义（P<0.05）；观察组患者的平均住院时间短于对照组，差异有统计学意义（P<0.05）。结论 在常规护理的基础上加以心理干预对胃大部分切除患者进行护理，效果显著，利于稳定患者不良心理，减少并发症，缩短住院时间，提高生活质量，值得应用。

[关键词]胃大部分切除术；胃癌；心理干预；焦虑；抑郁；生活质量

[中图分类号] R477.6 [文献标识码] A [文章编号] 1674-4721（2017）09（a）-0158-03

The effect of psychological intervention in the nursing of gastric cancer patients with most gastric excision

YU Xiu-yun

Department of the First Surgery，Yingtan People′s Hospital，Jiangxi Province，Yingtan 335000，China

[Abstract]Objective To explore the effect of psychological intervention in the nursing of gastric cancer patients with with most gastric excision.Methods A total of 90 gastric cancer patients who were performed most gastric excision were selected as the subjects from July 2014 to May 2016 in our hospital.The patients were divided into two groups according to the odevity of patients′ admission number，with 45 cases in each group.The patients in control group were treated with routine nursing，while the patients in observation group were treated with psychological care on the basis of the control group.The psychological status，postoperative complication and quality of life of the two groups were compared.Results The SDS and SAS scores in the observation group were lower than the control group，and the differences were statistically significant （P<0.05）.The postoperative complication rate was lower in the observation group than that in the control group，and the difference was statistically significant （P<0.05）.The quality of life in the observation group was higher than the control group，and the difference was statistically significant （P<0.05）.The average length of hospital stay in the observation group was shorter than the control group，and the difference was statistically significant （P<0.05）.Conclusion The psychological intervention was carried out on the gastric cancer patients with most gastric excision basis on the routine nursing care，effect is remarkable，it is beneficial to stabilize the patients′ bad psychology，reduce complications，shorten hospitalization time，improve the quality of life，is worthy of application.

[Key words]Gastric resection；Gastric cancer；Psychological intervention；Anxiety；Depression；Quality of lifeendprint

在临床上，胃大部分切除术属于治疗胃部肿瘤、胃溃疡合并出血等疾病的一种常用手段。多数接受此手术治疗的患者伴有心理障碍，致使机体免疫力下降、免疫系统识别能力减弱、消灭癌细胞功能降低等[1-2]。因此，加强患者心理护理显得尤为重要。基于上述事实，本研究选取在我院行胃大部切除术的90例胃癌患者作为研究对象，分析心理干预在胃大部分切除的胃癌患者护理中的作用，现报道如下。

1资料与方法

1.1一般资料

选取2014年7月～2016年5月在我院行胃大部切除术的90例胃癌患者作为研究对象，依照患者住院号奇偶数分为两组，每组各45例。对照组男24例，女21例；年龄31～61岁，平均年龄（46.0±5.0）岁。观察组男25例，女20例；年龄29～65岁，平均年龄（47.0±6.0）岁。纳入标准[2]：①无肝肾等实质性器官功能障碍，血液系统良好；②身体一般状态良好且理解、表达等能力健全；③均知晓本研究情况并签署知情同意书；④经我院医学伦理委员会审核及同意。……