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目的研究心理评量技术对骨肉瘤手术患者的护理效果影响。方法选取2013年3月至2016年6月间南通大学附属海安医院收治的72例骨肉瘤手术患者,采用随机数表法分为研究组和对照组,每组36例。对照组患者采用常规护理,研究组患者在对照组基础上使用心理评量技术评估心理状态,并根据评量结果进行针对性护理干预。采用生活质量量表(QOL-C30)评估两组患者护理前后的生活质量,采用焦虑自评量表(SAS)和抑郁自评量表(SDS)评价两组患者干预前后焦虑和抑郁情绪,记录患者不良反应发生情况,评估患者治疗依从性。结果干预后,两组患者躯体功能、心理功能、物质生活、社会状态等生活质量各评分均显著提高,且研究组患者各评分均显著高于对照组,差异均有统计学意义(均P<0.05)。护理后,两组患者焦虑和抑郁评分均降低,且研究组患者焦虑和抑郁评分(40.34±3.52和40.40±3.43)均低于对照组(46.23±4.21和45.63±4.48),差异均有统计学意义(均P<0.05)。研究组患者治疗依从性显著高于对照组,差异有统计学意义(P<0.05)。结论心理评量技术能够显著改善骨肉瘤手术患者的护理效果,提高生活质量及治疗依从性,改善负性情绪,值得临床推广。
Objective To study the effect of psychological assessment on the nursing effect of patients with osteosarcoma. Methods Seventy-two patients with osteosarcoma admitted to Hai’an Hospital affiliated to Nantong University from March 2013 to June 2016 were randomly divided into study group and control group with 36 cases in each group. Patients in the control group were treated with routine nursing. Patients in the study group were evaluated psychological status based on the control group, and targeted nursing intervention was conducted according to the evaluation results. The QOL-C30 was used to evaluate the quality of life of the two groups before and after nursing. The anxiety and depression were evaluated by anxiety self-rating scale (SAS) and depression self-rating scale (SDS) Patients with adverse reactions, assessment of patient compliance. Results After intervention, the scores of physical quality, mental function, material life, social status and other quality of life in the two groups were significantly increased, and the scores in study group were significantly higher than those in control group (all P < 0.05). After nursing, anxiety and depression scores decreased in both groups, and anxiety and depression scores in the study group (40.34 ± 3.52 and 40.40 ± 3.43) were lower than those in the control group (46.23 ± 4.21 and 45.63 ± 4.48, respectively) Significance (all P <0.05). The study group patients compliance was significantly higher than the control group, the difference was statistically significant (P <0.05). Conclusion Psychometric evaluation can significantly improve the nursing effect of patients with osteosarcoma surgery, improve quality of life and treatment compliance, and improve negative emotions, worthy of clinical promotion.