摘要

【摘要】
目的：探讨心理护理干预实行于胃癌晚期患者对负面情绪及疼痛、睡眠的改善价值。

方法：经严格纳排标准，选择86例胃癌晚期患者（收集病例时间为2020年3月-2021年8月），根据随机数字表法做分组处理，组别记为对照组与观察组，每组43例，前者实行常规护理模式，后者实行心理护理干预，评估两组的焦虑抑郁程度（焦虑自评量表（SAS）评分、抑郁自评量表（SDS）评分）、睡眠状态（匹兹堡睡眠质量指数(PSQI)评分）、疼痛程度（视觉模拟评分法(VAS)评分）以及生活质量并展开组间比较。

结果：干预后，评估患者负性情绪，两组SAS、SDS评分均呈下降趋势，且观察组更为显著（P＜0.05）；干预后较对照组

结果，观察组疼痛程度即VAS评分、睡眠质量即PSQI评分均显著低，且生活质量即EORTC QLQ-30评分显著高（P＜0.05）。

结论：心理护理干预的开展有利于改善胃癌晚期患者焦虑、抑郁等负面情绪，并有效缓解疼痛疼痛，以保障良好的睡眠质量，进一步促进生活质量大幅度改善，取得理想的预后

结果。

关键词：【关键词】心理护理干预；胃癌；负性情绪；疼痛；睡眠时间

ABSTRACT

[Abstract]
Objective: To explore the value of psychological nursing intervention in the improvement of negative emotions, pain and sleep in patients with advanced gastric cancer.

Methods: after strict acceptance and exclusion criteria, 86 patients with advanced gastric cancer (cases were collected from March 2020 to August 2021) were divided into two groups according to the random number table method. The group was divided into control group and observation group, with 43 cases in each group. The former implemented routine nursing mode, and the latter implemented psychological nursing intervention to evaluate the degree of anxiety and depression (SAS score, SDS score) of the two groups Sleep status (Pittsburgh sleep quality index (PSQI) score), pain degree (visual analogue scale (VAS) score) and quality of life were compared between groups.

Results: after the intervention, the SAS and SDS scores of the two groups showed a downward trend, and the observation group was more significant (P<0.05); After the intervention, compared with the control group, the pain degree, namely VAS score, sleep quality, namely PSQI score, in the observation group were significantly lower, and the quality of life, namely EORTC qlq-30 score, was significantly higher (P<0.05).

Conclusion  : the implementation of psychological nursing intervention is conducive to improve the anxiety, depression and other negative emotions of patients with advanced gastric cancer, and effectively relieve pain, so as to ensure good sleep quality, further promote the substantial improvement of quality of life, and achieve ideal prognosis.

Key words: [Key words] psychological nursing intervention; Gastric cancer; Negative emotion; Pain; Sleep time