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ID:15224178
大小:36.01 KB
页数:10页
时间:2018-08-02
《影响化疗患者心理健康相关因素调查与护理干预》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、影响化疗患者心理健康相关因素调查与护理干预【摘要】目的探讨化疗患者的心理健康状况及其相关影响因素,为实施护理干预提供依据。方法采用症状自评量表及自拟调查问卷,对在我院接受化疗的30例恶性肿瘤患者(化疗组)和30例其他疾病住院患者(对照组)的心理健康状况进行测评分析。结果症状自评量表评分,两组总分及各因子分比较均无显著性差异(P>0.05);化疗组心理健康水平较差者占16.67%,症状自评量表评分前三位排序为躯体不适、强迫和抑郁;化疗组在接受化疗过程中出现的副作用与总分、总症状指数、阳性项目数、人际关系、抑郁、焦虑、偏执、
2、精神病性得分均呈显著正相关(P<0.01~0.05);探视次数与总分、总症状指数、阳性项目数、躯体化、强迫症状得分呈显著负相关(P<0.05);病程长短及患病时的自理状况与躯体化因子分呈显著正相关(P<0.05)。整体化护理及健康教育干预,能显著提高化疗患者的心理健康水平。结论恶性肿瘤患者在化疗过程中的副作用、探视次数、病程长短及自理状况对其心理健康状况均有不同程度的影响。深入开展整体化护理,有针对性的进行护理干预和健康教育,有利于提高患者的心理健康水平和生活质量。【关键词】化疗恶性肿瘤心理健康整体化护理 【Abstr
3、act】ObjectiveToexplorethementalhealth10statusandcorrelatedinfluencingfactorsinordertoprovidebasesforpracticingnursinginterventionsinpatientsonchemotherapy.MethodsMentalhealthstatuswasassessedwiththeSymptomChecklist90(SCL90)andtheSelfmadeQuestionnaire(SMQ)in30p
4、atientswithmalignanttumorreceivingI.V.chemotherapy(chemotherapygroup)and30oneswithotherdiseasesdoingnonchemotherapytranfusion(controlgroup)inourhospital.ResultsTherewerenosignificantdifferencesintotalandeachfactorscoresoftheSCL90betweenthe2groups(P>0.05);pat
5、ientswithworsementalhealthlevelmadeup16.67%,thefirst3placesoftheSCL90scoreswereinturnsomatodiscomfort,compulsionanddepressioninthechemotherapygroup;sideeffectsoccurredintheprocessofchemotherapyweresignificantlypositivelyrelatedtototalscoreandsuchfactorscoreasto
6、talsymptomindex,numbersofpositiveitems,interpersonalrelation,depression,anxiety,paranoiaandpsychoticinthechemotherapygroup(P<0.01~0.05).Somatizationfactorwassignificantlypositivelyrelatedtodutationofillnessandselfcarestatusbeingill(P<0.05).Holisticnursinga
7、ndhealthyeducationcouldsignificantlyimprovemealthealthlevelsofpatientsonchemotherapy.ConclusionSuchfactorsassideeffects,visiting10frequency,durationofillnessandselfcareinfluencementalhealthstatusofpatientswithmalignanttumorinvaryingdegreeintheprocessofchemothera
8、py.Itisinfavourofimprovingpatients’mentalhealthlevelsandqualityoflifetodevelopholisticnursingthoroughlyandundertakeclinicalnursinginterventionandhealtheducatio
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