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| Effects of humanized nursing intervention on anxiety and depression in patients underwent surgery |
| YANG Li1 CHU Chengmei2 |
1.Department of Surgery, People′s Hospital of Hai′an County, Jiangsu Province, Hai′an 226600, China
2 Department of Gynecology, People′s Hospital of Hai′an County, Jiangsu Province, Hai′an 226600, China |
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Abstract Objective To explore the effects of humanized nursing intervention on anxiety and depression in patients underwent surgery. Methods From January 2016 to January 2017, 148 patients underwent surgical treatment in People′s Hospital of Hai′an County were selected as research objects and divided into the routine group and the observation group by random number table, with 74 cases in each group. The routine group was given basic care intervention and the observation group was given humanized nursing intervention on the bases of routine group. The changes of mental status were observed before and after operation， and the vital signs and nursing satisfaction were observed. The psychological status before and after operation was compared, the vital signs and the nursing satisfaction after the operation were compared between the two groups. Results After operation, the scores of self-rating anxiety scale and self-rating depression scale in the observation group were lower than those of routine group, with statistically significant differences (P ＜ 0.05). The respiration, heart rate, diastolic blood pressure and systolic blood pressure in the observation group were all lower than those of routine group, with statistically significant differences (P ＜ 0.05). The total nursing satisfaction rate was higher than that of routine group, with statistically significant difference (P ＜ 0.05). Conclusion Humanized nursing intervention can reduce the anxiety and depression in patients underwent surgery, reduce the stress responses, improve the surgical tolerance and promote the nursing satisfaction.
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[1] 刘梅，滕敬华.围手术期护理干预对乳腺癌改良根治术患者情绪及疼痛影响[J].现代中西医结合杂志，2017，26（2）：223-225.
[2] Kohler N， Friedrich M， Gansera L，et al. Psychological distress and adjustment to disease in patients before and after radical prostatectomy：Results of a prospectivemulti-centre study [J]. Eur J Cancer Care（Engl），2014，23（6）：795-802.
[3] Mitchell AJ，Chan M，Bhatti H，et al. Prevalence of depression，anxiety，and adjustment disorder in oncological，haematological，and palliative-care settings：a meta-analysis of 94 interview-based studies [J]. Lancet Oncol，2011， 12（2）：160-174.
[4] 冯雪，袁洁，李四维，等.比较两种测量方法对心脏外科手术术前患者焦虑抑郁的评估结果[J].中国循证心血管医学杂志，2016，8（11）：1386-1388，1390.
[5] Benedict C，Dahn JR，Antoni MH，et al. Positive and neg?鄄ative mood in men with advanced prostate cancer undergoing androgen deprivation therapy：considering the role of social support and stress [J]. Psycho-oncol，2015，24（8）：932-939.
[6] 林红.人性化护理模式在手术室护理中的应用价值分析[J].中国煤炭工业医学杂志2016，19（1）：126-129.
[7] 马涛.围术期人性化护理对膀胱癌患者治疗依从性及生活质量的影响[J].国际护理学杂志，2016，35（21）：2898-2902.
[8] Schaake W，de Groot M，Krijnen WP，et al. Quality of life among prostate cancerpatients： a prospective longitudinal population-based study [J]. Radiother Oncol，2013，108（2）：299-305.
[9] 曲广新.护理干预对脑部肿瘤切除术患者机体及心理应激表现的影响[J].中国实用神经疾病杂志，2017，20（1）：129-130.
[10] Krebber AM，Buffart LM，Kleijn G，et al. Prevalence of depression in cancer patients：a meta-analysis of diagnostic interviews and self-report instruments[J].Psycho-oncol，2014，23（2）：121-130.
[11] Brunault P，Toledano A，Aguerre C，et al. Impact of late treatment-related radiotherapy toxicity，depression，and anxiety on quality of life in long-term breast cancer survivors [J]. Bull Cancer，2012，99（5）：589-598.
[12] Anagnostopoulou M，Stroumpoulis K，Baltayiannis N，et al. Quality of life and pre-operative anxiety level in patients scheduled to undergo thoracic surgery [J]. Br J Oral Maxillofac Surg，2012，50（8）：715-720.
[13] Prasad SM，Eggener SE，Lipsitz SR，et al. Effect of depression on diagnosis，treatment，and mortality of men with clinically localized prostate cancer [J]. J Clin Oncol，2014， 32（23）：2471-2478.
[14] 夏捷，张跃，包雪青.人性化护理干预对胆结石患者术前情绪的影响[J].中华现代护理杂志，2014，20（33）：4203-4205.
[15] Uckett T，King MT，Butow PN，et al. Choosing between the EORTC QLQ-C30 andFACT-G for measuring health-related quality of life in cancer clinical research：issues，evidence and recommendations [J]. Ann Oncol，2014，22（10）：2179-2190.
[16] Zhang TL，Hu AL，Xu HL. Patients after colostomy：relationship between quality of life and acceptance of disability and social support [J]. Chin Med J（Engl），2013， 126（21）：4124-4131.
[17] 申屠君亚，应红玉.社会支持对宫颈癌住院化疗患者抑郁情绪的影响[J].中国现代医学杂志，2014，24（21）：49-53.
[18] Zhou ES，Penedo FJ，Lewis JE，et al. Perceived stress mediates the effects of social support on health-related quality of life among men treated for localized prostate cancer [J]. J Psychosom Res，2010，69（6）：587-590.
[19] Coyne JC，Palmer SC. More claims about depression，immune function，and survival that exceed the evidence [J]. J Clin Oncol，2007，25（33）：5328-5329 .
[20] 李建，胥润，吴雪莲，等.心理社会治疗对胃癌患者焦虑抑郁情绪及术后恢复的影响[J].胃肠病学和肝病学杂志，2016，25（11）：1253-1257.
[21] Pinquart M，Duberstein PR. Associations of social networks with cancer mortality：a meta-analysis [J]. Crit Rev Oncol Hematol，2010，75（2）：122-137.
[22] Deng M，Lan Y，and Luo S. Quality of life estimate in stomach，colon，and rectal cancer patients in a hospital in China [J]. Tumour Biol，2013，34（5）：2809-2815.
[23] Shaw JM，Price MA，Clayton JM，et al. Developing a clinical pathway for the identification and management of anxiety and depression in adult cancer patients：an online Delphi consensus process [J]. Support Care Cancer，2016，24（1）：33-41.
[24] Andersen BL，De Rubeis RJ，Berman BS，et al. Screening，assessment，and care of anxiety and depressive symptoms in adults with cancer：an American Society of Clinical Oncology guideline adaptation [J]. J Clin Oncol，2014，32（15）：1605-1619.
[25] Park HA，Park SH，Cho SI，et al. Impact of age and comorbidity on the short-term surgical outcome after laparoscopy-assisted distal gastrectomy for adenocarcinoma [J]. Am Surg，2013，79（1）：40-48.
[26] 孙俐.临床护理路径对子宫肌瘤手术患者心理状态及临床效果的影响[J].职业与健康，2016，32（17）：2446-2448. |
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