2种不同术前干预方法对肝癌患者术后恢复情况的影响

Influence of two different preoperative intervention methods on postoperative rehabilitations of patients with hepatocellular carcinoma

目的探讨术前针对性心理干预对肝癌患者术后恢复情况的影响。方法选择拟行手术治疗的肝癌患者103例随机分为对照组和观察组,对照组采用常规健康教育,观察组除进行常规健康教育外,还采取有针对性的心理干预,通过对2组患者术后血压、心率、下床活动时间、肠蠕动恢复时间的比较,分析2组患者术后生存质量。结果心理干预前后2组患者的血压和心率均无统计学差异;心理干预后观察组的下床活动时间、肠蠕动恢复时间与对照组相比无统计学差异;观察组患者术后生存质量显著高于对照组患者(P<0.05)。结论有针对性的心理干预可提高肝癌患者术后的生存质量。

Objective To explore the influence of preoperative psychological intervention on the postoperative rehabilitations of patients with hepatocellular carcinoma （HCC）. Methods 103 HCC patients with surgical treatment plan were randomly divided into control group and observation group. Both groups were treated with conventional health education, and the observation group was treated with additional targeted psychological intervention. Indexes such as blood pressure, heart rate, ambulation time and intestinal peristalsis recovery time were compared between two groups, and postoperative quality of life （QQL） of patients was analyzed. Results There were no signifi- cant differences of blood pressure and heart rate before and after psychological intervention in both groups （P 〉 0.05）; after the psychological intervention, there were no significant differences of ambulation time and intestinal peristalsis recovery time between two groups （ P 〉 0.05） ; （~） the condition of QOL in the observation group was significantly better than that in the control group （P 〈 0.05）. Conclusion Targeted psychological intervention can improve the postoperative quality of life in patients with hepatocellular carcinoma.