开展肺癌患者心理护理门诊服务的实践

开展肺癌患者心理护理门诊服务的实践

李玉梅薛智颖

同济大学附属上海市肺科医院护理部（李玉梅）；肿瘤科（薛智颖）

出版日期:2016-12-25 发布日期:2016-12-25
基金资助:
同济大学附属上海市肺科医院科研资助项目（fkhl2015008）

The effect of psychological nursing clinic on lung cancer patients

Online:2016-12-25 Published:2016-12-25

摘要/Abstract

摘要： 目的：评价开展肺癌患者心理护理门诊服务的实践效果。方法：采用患者健康问卷(PHQ-9)、广泛性焦虑量表(GAD-7)、匹兹堡睡眠质量指数（PSQI) 和疼痛数字评分表对心理护理门诊的肺癌患者进行测评，对得分高于标准值的106 例患者给予持续4 周的个体化心理干预，对其家属进行同步指导。结果：干预后患者PHQ-9 得分为（5.01±2.72) 分，GAD-7 得分为（4.73±2.67) 分，PSQI 得分为（4.14±1.45) 分，疼痛评分为（2.91±1.32) 分，与初诊时比较均明显降低，差异有统计学意义（P <0.05）。结论：心理护理门诊为肺癌患者提供有效的心理咨询和健康指导等服务，极大满足了患者对心理健康及康复的需求。

Abstract: Objective: To explore the effect of psychological nursing clinic on lung cancer patients. Method:Totally 106 lung cancer patients were recruited from the psychological nursing clinic and investigated by Patient Health Questionnaire-9 (PHQ-9), General Anxiety Disorder-7 (GAD-7), Pittsburgh Sleep Quality Index (PSQI), and Numerical Rating Scale (NRS). Patients who had higher scores than the standard values were given individualized psychological intervention for 4 weeks. At the same time, we guided the patients' family members synchronously. Results: After psychological nursing intervention, the scores of PHQ-9 (5.01±2.72), GAD-7 (4.73±2.67), PSQI (4.14±1.45) and NRS(2.91±1.32) were significantly decreased (P<0.05) than their initial scores. Conclusion: Extended service of effective psychological counseling and health care guidance provided by psychological nursing clinic could greatly meet the mental health and rehabilitation needs of lung cancer patients.

李玉梅薛智颖. 开展肺癌患者心理护理门诊服务的实践[J]. , 2016, 16(12): 1699-1702.