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目的:探讨人文关怀模式护理对乳腺癌根治术后心理障碍患者治疗效果的影响。方法:选取2014年6月—2016年6月于我院行乳腺癌根治术合并有抑郁症的患者80例,随机分成人文关怀组及对照组两组,对照组患者进行常规的护理模式,人文对照组患者在常规护理模式的基础上,加以人文关怀护理模式,对比两组患者治疗1个月后及治疗2个月后的抑郁症治愈率、治疗前后HAMD评分对比及对护理工作的满意度。结果:两组患者治疗1月后及治疗2月后的HAMD评分均比治疗前降低(t=7.021,4.536,15.41,8.340;P<0.05),人文关怀组患者治疗后1月的HAMD评分低于对照组患者的汉密尔顿抑郁量表(HAMD)评分(t=-2.553,P<0.05);人文关怀组患者治疗后2月的HAMD评分明显低于对照组患者的HAMD评分(t=-6.158,P<0.05)。人文关怀组患者对护理满意度高于对照组患者(t=2.251,2.093,2.955,2.481,2.683,2.771,2.013,2.137;P<0.05)。结论:大力提倡实施人文关怀组护理模式,有利于降低乳腺癌根治术后患者的抑郁程度。
Objective: To investigate the effect of humane care mode nursing on the treatment effect of psychological disorders in patients with radical mastectomy. Methods: Totally 80 patients undergoing radical mastectomy combined with depression in our hospital from June 2014 to June 2016 were randomly divided into two groups: the human-care group and the control group. The control group received routine nursing mode, Patients in the control group were treated with humane care mode based on routine nursing model. The cure rate of depression after one month and two months after treatment were compared between two groups, HAMD score before and after treatment and satisfaction with nursing work . Results: The HAMD scores of both groups after 1 month of treatment and after 2 months of treatment were lower than those before treatment (t = 7.021,4.536,15.41,8.340; P <0.05). The HAMD scores of the patients in the humanistic care group at 1 month after treatment were lower The Hamilton Depression Rating Scale (HAMD) score (t = -2.553, P <0.05) in the control group was significantly lower than that in the control group at 2 months after treatment (t = -6.158, P <0.05). Patients in the humanistic care group were more satisfied with the nursing care than those in the control group (t = 2.251,2.093,2.955,2.481,2.683,2.771,2.013,2.137; P <0.05). Conclusion: It is strongly advocated that the nursing model of humanistic care should be implemented to reduce the degree of depression in patients with radical mastectomy.