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目的观察以家庭为基础的心理护理在鼻咽癌患者手术治疗中的护理干预及护理效果。方法选取2015年5月~2016年7月我院诊治的鼻咽癌手术治疗患者70例,采用随机方法分为对照组(n=35)和观察组(n=35)。对照组采用常规方法护理,观察组采用以家庭为基础的心理护理,比较两组护理效果。结果两组患者护理前汉密尔抑郁量表、焦虑评分差异无统计学意义(P>0.05);观察组护理后汉密尔抑郁量表评分、焦虑评分,显著低于对照组(P<0.05);两组患者在护理前社会客观、主观支持及社会支持利用度及社会支持总分差异无统计学意义(P>0.05);观察组护理后社会客观、主观支持及社会支持利用度及社会支持总分,显著低于对照组(P<0.05);观察组主观感受的恐惧率,显著低于对照组(P<0.05);观察组照料主动、积极和有信心率,显著高于对照组(P<0.05)。结论鼻咽癌患者采用手术治疗时实施以家庭为基础的心理护理效果理想,值得推广应用。
Objective To observe the nursing intervention and nursing effect of family-based psychological nursing in the surgical treatment of patients with nasopharyngeal carcinoma. Methods Seventy patients with nasopharyngeal carcinoma treated in our hospital from May 2015 to July 2016 were randomly divided into control group (n = 35) and observation group (n = 35). The control group was treated by conventional methods. The observation group was treated with family-based psychological care. The nursing effects were compared between the two groups. Results There was no significant difference in Hamilton Depression Rating Scale and Anxiety Score between the two groups before treatment (P> 0.05). The Hamilton Depression Scale score and anxiety score in the observation group were significantly lower than those in the control group (P <0.05) . There was no significant difference in social objective, subjective support, social support utilization and total social support scores between the two groups before nursing (P> 0.05). Social objective and subjective support, social support utilization and social support (P <0.05). The rate of subjective feeling of fear in the observation group was significantly lower than that in the control group (P <0.05). The observation group was significantly more active and confident than the control group P <0.05). Conclusion The family-based psychological nursing for patients with nasopharyngeal carcinoma is ideal and should be popularized and applied.