达芬奇机器人辅助腹腔镜下肾癌根治术病人的认知与情感智能干预

Cognition and emotion intelligence intervention of patients with Leonardo Da Vinci surgical robot-assisted laparoscopic radical nephrectomy

[目的]探究达芬奇机器人辅助腹腔镜下肾癌根治术病人引入认知与情感智能干预对其负性情感及康复的影响。[方法]选取我院2014年9月—2016年2月收住的64例行达芬奇机器人辅助腹腔镜下肾癌根治术病人为研究对象,以随机数字表作为分组依据,将纳入对象分为研究组和对照组,每组32例。其中对照组实施传统的护理照护,研究组则在对照组基础上引入认知与情感智能干预。两组病人在住院当天、手术前1d和手术后第7天均接受Zung编制的焦虑自评量表(SAS)和抑郁自评量表(SDS)评估;于上述时间点记录两组病人的心率及血压值;比较两组病人完成手术时间、术中出血量、引流管留置时间、下床活动开始时间及术后住院天数。[结果]两组病人在住院当天的SAS和SDS评分差异无统计学意义(P>0.05);研究组手术前1d和手术后第7天的SAS和SDS评分均低于对照组,差异有统计学意义(P<0.05)。两组病人在住院当天的心率和收缩压值差异无统计学意义(P>0.05);研究组病人手术前1d和手术后第7天的心率及收缩压值均低于对照组,差异有统计学意义(P<0.05)。研究组病人下床活动时间、引流管拔除时间早于对照组(P<0.05),术中出血量少于对照组(P<0.05),完成手术时间及术后住院天数均短于对照组(P<0.05)。[结论]对于行达芬奇机器人辅助腹腔镜下肾癌根治术病人,引入认知与情感智能干预有助于改善其焦虑、抑郁情绪,亦能促进其康复。

Objective： To explore the influence of cognition and emotion intelligence intervention on the negative emotion and prognosis of rehabilitation of patients with Leonardo Da Vinci surgical robot - assisted laparoscopic radical nephrectomy. Methods： A total of 64 patients with Leonardo Da Vinci surgical robot - assisted laparo-scopic radical nephrectomy in our hospital from September,2014 to February,2016 were involved in this study. Patients were divided into study group（32 cases） and control group（32 cases） according to the random number table. The patients in control group received traditional nursing, while the patients in study group received cog-nition and emotion intelligent intervention on the basis of control group. Zung？s Self - rating Anxiety Scale （SAS） and the Self- rating Depression Scale（SDS） were used to evaluate and record the patients＇ heart rate and systolic pressure on the day of admission, 1st day before operation and 7th day after operation. Compared the op-eration duration,the amount of blood loss during operation,drainage catheter extraction time,time of out of bed and postoperative length of stay between both groups. Results： On the day of admission, there was no statistical-ly significant difference in the SAS and SDS scores between both groups（P〉0. 05）. The SAS and SDS scores of patients in study group were lower than those in control group on 1st day before operation and 7th day after op-eration,and the differences were statistically significant（P〈C〇 . 05）. There was no statistically significant differ-ence in heart rate and systdic pressure both the two groups（P〉0. 05） on the day of admission. The heart rate and systolic pressure of patients in study group were lower than those in control group on lsh day before opera-tion and 7th day after operation, the difference was statistically significant（P〈0.05）. The operation time and postoperative length of stay of patients in study group were shorter than those in control group（P〈0.05） ; the time of out-of-bed and drainage catheter extraction were earlier than those in control group（P〈0. 05） ; the a-mount of blood loss during operation in study group was less than that in control group（P〈0. 05）. Conclusions： Cognition and emotion intelligence intervention can reduce the anxiety and depression of patients with Leonardo Da Vinci surgical robot -assisted laparoscopic radical nephrectomy,and can promote their rehabilitation.