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目的观察结构式心理干预对食管癌患者遵医行为及生活自理能力的影响。方法将100例食管癌患者按护理方法的不同分为干预组和对照组,每组50例。2组患者均采取常规护理。在此基础上,干预组患者加用结构式心理干预。观察2组患者遵医行为、生活自理能力评分及术后并发症(吻合口瘘、切口感染、肺部感染、泌尿系感染、腹胀、下肢静脉血栓)发生率。结果干预组患者总遵医率、生活自理能力评分均明显高于对照组,术后总并发症发生率明显低于对照组(均P<0.05)。结论对食管癌患者采取结构式心理干预可提高遵医行为,降低术后并发症发生率,提高患者生活自理能力,改善患者预后。
Objective To observe the effect of structured psychological intervention on compliance and self-care ability of esophageal cancer patients. Methods 100 cases of esophageal cancer patients were divided into intervention group and control group according to different nursing methods, 50 cases in each group. Patients in both groups were given routine care. On this basis, the intervention group patients with structural psychological intervention. The incidence of compliance behavior, self-care ability score and postoperative complications (anastomotic fistula, incisional infection, pulmonary infection, urinary tract infection, abdominal distension, venous thrombosis of lower extremities) were observed in two groups. Results The total compliance rate and life self-care ability score of intervention group were significantly higher than that of control group. The incidence of postoperative complications was significantly lower than that of control group (all P <0.05). Conclusion Structural psychological intervention for esophageal cancer patients can improve compliance behavior, reduce the incidence of postoperative complications, improve patients’ ability to take care of themselves, and improve prognosis.