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目的探索心理护理路径法对行125I粒子植入治疗的肝癌患者的临床效果。方法将接受125I植入治疗的130例肝癌患者随机分为对照组和试验组,对照组应用传统方法实施常规心理护理,观察组依据心理护理路径来实施心理护理。实施前后分别采用焦虑自评量表(SAS)、特质应对方式问卷(TCSQ)、生活质量评价量表SF-36评测两组状况并进行t检验。结果观察组和对照组两组干预后的SAS评分分别为(43.76±6.25)分和(46.16±7.19)分,差异有统计学意义(t值=-3.92,P<0.001)。干预后观察组TCSQ评分中的PC和NC分值分别为(41.61±4.82)分和(20.53±5.88)分;对照组的PC和NC评分分别为(37.32±4.62)分和(22.80±6.93)分。差异均有统计学意义(t组间pc/nc=5.944/-3.316,P<0.01)。出院1个月后,观察组和对照组患者的心理健康评分分别为(74.58±8.68)和(71.53±8.16)分,情绪功能分别为(79.46±10.05)和(75.13±15.09)分,总体健康状况评分分别为(76.69±7.52)和(65.34±18.16)分,差异均有统计学意义(P<0.05)。结论心理护理路径法让护士更加清晰心理护理工作的内容,使护士有计划、主动地完成心理护理工作,使患者获得了期前性、个体性、全面性的心理护理平缓了患者的负性情绪,提高了肝癌患者的生活质量。
Objective To explore the clinical effect of the path of psychological nursing on patients with hepatocellular carcinoma treated with 125I seed implantation. Methods A total of 130 HCC patients receiving 125I implantation were randomly divided into control group and experimental group. The control group received routine psychological nursing, and the observation group performed psychological nursing according to the path of psychological nursing. Before and after the implementation, SAS, SCSQ and SF-36 were respectively used to evaluate the status of both groups and t test. Results The SAS scores of the observation group and the control group after intervention were (43.76 ± 6.25) and (46.16 ± 7.19) points respectively, the difference was statistically significant (t = -3.92, P <0.001). The scores of PC and NC in observation group were (41.61 ± 4.82) and (20.53 ± 5.88), respectively; the score of PC and NC in control group were (37.32 ± 4.62) and (22.80 ± 6.93) Minute. The difference was statistically significant (t / pc = 5.944 / -3.316, P <0.01). One month after discharge, the mental health scores of the observation group and the control group were (74.58 ± 8.68) and (71.53 ± 8.16) points, and the emotional functions were (79.46 ± 10.05) and (75.13 ± 15.09) points respectively. The overall health The status scores were (76.69 ± 7.52) and (65.34 ± 18.16) points respectively, the difference was statistically significant (P <0.05). Conclusions Psychological nursing pathway method makes nurses more clear Psychological nursing work contents make nurses plan and take the initiative to complete psychological nursing work so that patients get pre-sexual, individual and comprehensive psychological care to ease the patient’s negative emotions , Improve the quality of life of patients with liver cancer.