Department of Critical Care Medicine of Lianyungang First People's Hospital, Lianyungang, China.
Department of Critical Care Medicine of Lianyungang First People's Hospital, The First Affiliated Hospital of Kangda College of Nanjing Medical University, Nanjing, China.
J Healthc Eng. 2022 Apr 6;2022:4452308. doi: 10.1155/2022/4452308. eCollection 2022.
The aim of the study was to explore the effect of intensive psychological nursing intervention on HAMD and SF-36 scores in patients with severe liver cancer in intensive care unit (ICU). 134 critically ill patients with liver cancer in ICU who underwent resection of primary liver cancer from July 2019 to November 2021 were selected. The patients were randomly divided into control group and study group. The patients in the control group received routine nursing. The patients in the study group received intensive psychological nursing intervention on the basis of routine nursing. Hamilton Anxiety Scale (HAMA), Hamilton Depression Scale (HAMD), and the MOS 36-item short-form health survey (SF-36) scores before and after nursing were compared between the two groups. The satisfaction of the two groups of patients with nursing was counted. The HAMA, HAMD, and SF-36 scores of patients receiving intensive psychological nursing intervention were significantly better than those receiving routine nursing. The nursing satisfaction of patients receiving intensive psychological nursing intervention was significantly higher than that of patients receiving routine nursing. Intensive psychological nursing intervention for patients with severe liver cancer in ICU can significantly reduce HAMD, improve SF-36 score, and patient nursing satisfaction. It is worthy of wide clinical promotion.
本研究旨在探讨强化心理护理干预对重症监护病房（ICU）中重症肝癌患者汉密尔顿焦虑量表（HAMD）和 SF-36 评分的影响。选取 2019 年 7 月至 2021 年 11 月在我院 ICU 行原发性肝癌切除术的 134 例重症肝癌患者。将患者随机分为对照组和研究组。对照组患者接受常规护理，研究组患者在常规护理的基础上接受强化心理护理干预。比较两组患者护理前后的汉密尔顿焦虑量表（HAMA）、汉密尔顿抑郁量表（HAMD）和 MOS 36 项简明健康调查量表（SF-36）评分。统计两组患者对护理的满意度。接受强化心理护理干预的患者的 HAMA、HAMD 和 SF-36 评分明显优于接受常规护理的患者。接受强化心理护理干预的患者对护理的满意度明显高于接受常规护理的患者。重症肝癌 ICU 患者接受强化心理护理干预可明显降低 HAMD，改善 SF-36 评分，提高患者护理满意度，值得临床广泛推广。
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