心理干预联合特耐在胆管癌患者术后康复中的应用体会

Application of psychological intervention combined with special resistance in postoperative rehabilitation of patients with cholangiocarcinoma

目的探讨心理干预联合特耐在胆管癌患者术后康复中的应用效果。方法此次依不同干预模式将2015年1月~2017年3月于浙江省永康市第一人民医院手术治疗胆管癌的患者40例分组为：对照组用常规护理+生理盐水模式干预，观察组用心理护理+特耐（帕瑞昔布钠）模式干预；对2组患者干预前后心理状态改善情况、认知功能改善情况、疼痛评分变化情况进行详细记录，并将所获相关数据作对比分析。结果心理护理+特耐（帕瑞昔布钠）模式（观察组）干预胆管癌手术治疗患者的临床效果优于常规护理+生理盐水模式（对照组）临床干预效果，患者心理状态改善情况、认知功能改善情况、疼痛评分变化情况均优于对照组，差异有统计学意义（P＜0.05）。结论胆管癌手术治疗患者选择心理护理+特耐（帕瑞昔布钠）模式干预效果显著，可有效改善患者心理状态、认知功能，并可充分减轻患者术后疼痛程度，对患者术后康复有着极佳的促进作用，值得临床上广泛应用。

Objective To investigate the application effect of psychological intervention combined with parecoxib in rehabilitation of patientswith bile duct carcinoma after the operation.Methods According to the different intervention models from January2015to March2017in the firstpeople’s hospital of Yongkang city surgical treatment of bile duct carcinoma,40cases of patients groups:control group with routine nursing plussaline intervention,observation group with psychological nursing+Tenai(parecoxib sodium)mode of intervention;on the psychological state of thetwo groups before and after intervention to improve patients the cognitive function,to improve the situation,changes in pain scores were recorded,and the related data for comparative analysis.Results The psychological nursing+Tenai(parecoxib sodium)model(observation group)interventionin the treatment of patients with bile duct cancer surgery clinical effect is better than that of routine nursing mode+normal saline(control group)theclinical effect of intervention,the psychological state of patients to improve the situation,improve cognitive function,pain score changes were betterthan the control group,there was statistical significant differences(P<0.05).Conclusion The surgical treatment of patients with cholangiocarcinomapatients psychological nursing+Tenai(parecoxib sodium)intervention effect significantly,can effectively improve the patients psychological status,cognitive function,and can reduce postoperative pain fully,has an excellent role in promoting the rehabilitation of patients after surgery,worthy ofclinical application.