摘要
目的:观察辨证饮食及情志干预改善脑肿瘤手术患者心理状态及生活质量效果。方法:选取我院2016年1月~2017年6月收治的86例脑肿瘤患者作为研究对象,采取随机双盲法将患者平均分组为研究组与对照组,对照组患者(43例)术后实施常规干预,研究组患者(43例)术后在常规干预基础上实施辨证饮食及情志干预,对比两组患者术后营养状况(优良率),干预前后两组患者焦虑自评(SAS)及抑郁自评(SDS)量表评分、视觉模拟疼痛评分(VAS)、睡眠质量评分(PSQI)及生活质量评分(SF-36),问卷调查两组患者干预满意度。结果:研究组营养总优良率为97.67%,高于对照组83.72%,P<0.05,差异具有统计学意义;干预前两组患者SAS、SDS、VAS、PSQI、SF-36评分均相当,P>0.05,差异无统计学意义;干预后,两组患者评分均改善,较对照组研究组改善更显著,P<0.01,差异具有统计学意义;研究组满意率高达95.35%,高于对照组79.07%,P<0.05,差异具有统计学意义。结论:辨证饮食及情志干预可显著改善脑肿瘤手术患者术后营养状况及心理状态,缓解患者疼痛度,改善患者睡眠及生活质量,患者满意率高,值得推广应用。
Objective: To explore the psychological status and quality of life of patients with brain tumor surgery. Methods:Selecting our hospital from January 2016 to June 2016 treated 86 cases of brain tumor patients as the research object,taking random double blind method would average grouped into research group and controlled group,the controlled group patients( 43 cases)postoperative,conventional intervention group patients( 43 cases) on the basis of conventional intervention after implementation of syndrome differentiation and modern diet intervention,compared the two groups of patients with postoperative nutritional status( crop),the two groups of patients before and after the intervention of self-evaluation of anxiety( SAS) and depression self rating scale( SDS) score,visual analog pain score( VAS) and sleep quality score( PSQI) and the quality of life score( SF-36),intervention satisfaction questionnaire two groups of patients. Results: The total nutrition of the group was 97. 67%,higher than83. 72% of the controlled group,P〈0. 05,and the difference was statistically significant. In the first two groups,SAS,SDS,VAS,PSQI,SF-36 score were all similar,P〉0. 05,and the difference was not statistically significant. After the intervention,the scores of both groups were improved,and the improvement was more significant than that in the controlled group,with the difference of P〈0. 01,which was statistically significant. The satisfaction rate of the team was 95. 35%,higher than the controlled group 79. 07%,P0. 05,and the difference was statistically significant. Conclusion: Syndrome differentiation and modern diet intervention can significantly improve postoperative nutritional status and psychological status in patients with brain tumor surgery,relieve patients' pain,sleep and improve patients life quality,patients satisfaction rate is high,is worthy of popularization and application.
作者
王建
WANG Jian(Department ofNeurosurgery,The Second People's Hospital of Chengdu City(Chengdu Sichuan 610017,China)
出处
《四川中医》
2018年第7期202-205,共4页
Journal of Sichuan of Traditional Chinese Medicine
关键词
脑肿瘤
手术患者
辨证饮食
情志干预
心理状态
生活质量
Brain tumors
Surgical patients
Dialectical diet
Affection intervention
Mental state
Quality of life