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目的分析个体化心理干预对改善喉癌患者住院期间心理状态的作用。方法回顾分析2013—2016年收取的210例喉癌患者的临床资料,按护理方法不同分为观察组105例和对照组105例。对照组行常规护理;观察组患者入院后即由专职护士负责,进行个体化心理干预。入院时、手术前、出院前分别采用非精神科住院患者心理状态评定量表(MSSNS)进行调查,比对两组患者不同干预时间问卷调查结果差异。结果两组出院前的MSSNS总分及各因子评分(焦虑、抑郁、愤怒、孤独)明显低于入院时、手术前(P<0.01),观察组出院前MSSNS总分及各因子评分明显低于对照组(P<0.01)。结论喉癌患者住院期间实施个体化心理干预能有效改善患者心理状态,值得临床推广使用。
Objective To analyze the effect of individualized psychological intervention on improving psychological status of patients with laryngeal cancer during hospitalization. Methods The clinical data of 210 laryngeal cancer patients collected from 2013 to 2016 were retrospectively analyzed. According to the different nursing methods, 105 cases were divided into observation group and control group. Control group routine care; observation group patients admitted to full-time nurses responsible for individualized psychological intervention. At the time of admission, preoperative and postoperative discharges were investigated using the Psychiatric Rating Scale (MSSNS) of non-psychiatric inpatients, respectively, and the differences between the two groups in the time of questionnaire survey were compared. Results The scores of MSSNS before discharge and the score of each factor (anxiety, depression, anger and loneliness) before discharge in the two groups were significantly lower than those before admission and before operation (P <0.01). The score of MSSNS and scores of each factor before discharge in the two groups were significantly lower Control group (P <0.01). Conclusion Individualized psychological intervention during hospitalization can effectively improve the psychological status of patients with laryngeal cancer, and is worthy of clinical promotion.