目的 探究与分析预见性护理对肝胆管结石合并胆管癌手术患者围术期负性情绪及术后生活质量的影响.方法 选取2015年4月～2017年4月哈尔滨医科大学附属第一医院收治的肝胆管结石合并胆管癌手术的患者90例作为研究对象,按照随机数字表法分为对照组与观察组,每组各45例,对照组给予常规护理,观察组给予预见性护理.采用焦虑自评量表和抑郁自评量表对患者的负性情绪进行评估,比较两组患者术后生活质量及护理满意度.结果 护理后两组SAS和SDS评分低于护理前,观察组上述评分降低更加显著,差异均有统计学意义(P＜0.05).护理后两组躯体功能、角色功能、认知功能、情绪功能及社会功能评分均高于护理前,观察组上述评分升高更加显著,差异均有统计学意义(P＜0.05).观察组护理满意度高于对照组,差异有统计学意义(P＜0.05).结论 预见性护理对能够明显改善肝胆管结石合并胆管癌患者围术期的负性情绪,提高其护理满意度和生活质量,值得临床推广应用.%Objective To explore and analyze the effects of predictive nursing intervention on negative emotions and life quality in perioperative patients of hepatolithiasis complicated with cholangiocarcinoma.Methods From April 2015 to April 2017,90 patients with hepatolithiasis complicated with cholangiocarcinoma treated in the First Affiliated Hospital of Harbin Medical University were selected as the research subjects and divided into the observation group and the control group by random number table,with 45 cases in each group.The control group was given routine nursing and the observation group was given predictive nursing intervention.Self-rating depression scale (SDS) and the self-rating anxiety scale (SAS) were applied to assess the negative emotions of the patients.The postoperative life quality and nursing satisfaction were compared between the two groups.Results After nursing,the scores of SDS and SAS in the two groups were all lower than those of before nursing,the scores above in the observation group decreased much more remarkably,with statistically significant differences (P ＜ 0.05).After nursing,the scores of the physical function,role function,cognitive function,emotional function and social function in the two groups were all higher than those of before nursing,the scores above in the observation group increased much more remarkably,with statistically significant differences (P ＜ 0.05).The nursing satisfaction in the observation group was higher than that of control group,with statistically significant difference (P ＜ 0.05).Conclusion Predictive nursing intervention can significantly reduce the negative emotions of perioperative patients of hepatolithiasis complicated with cholangiocarcinoma.It can promote the nursing satisfaction and the life quality.It is worthy of clinical promotion and application.
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