互动干预模式对喉癌手术患者心理状况与不良情绪的影响

Effect of interactive intervention model on psychological status and adverse emotions of laryngeal cancer patients

目的 探讨互动干预模式对喉癌手术患者心理状况与不良情绪的影响。方法 选取2015年6月至2018年6月北京医院及新疆生产建设兵团所属3家医院接受气管切开手术治疗的喉癌患者96例,按随机数字表法分为观察组(48例)、对照组(48例)。对照组采用常规干预方法,观察组在常规干预基础上,采用互动干预模式。于术后1个月、6个月,采用华盛顿医科大学生存质量量表(university of washington-QOL,UW-QOL)、医院抑郁焦虑量表(hospital depression and anxiety scale,HADS)以及症状自评量表(symptom checklist 90,SCL-90)评估患者的生存质量与心理状况。结果 术后6个月,观察组UW-QOL量表外貌评分为(83.1±15.6)分,与对照组[(80.8±17.2)分]比较差异无显著性(t=0.686,P=0.494),而观察组UW-QOL量表其他各方面评分及总分均明显高于对照组,差异有显著性(P<0.05)。观察组患者HADS-D评分[(7.42±1.25)vs(9.53±1.31)]、HADS-A评分[(7.67±0.96)vs (9.21±1.04)]以及SCL-90量表各个方面评分均明显低于对照组,差异有显著性(P<0.05)。结论 互动干预模式可显著改善喉癌患者术后6个月的生存质量与心理状态,减少焦虑、抑郁的发生,促进患者康复及恢复正常生活。

Objective To explore the effect of interactive intervention mode on the psychological status and adverse emotions of post?surgery patients with laryngeal cancers. Method 96 patients with laryngeal cancers who underwent surgical treatment in our institutions from June 2015 to June 2018 were selected and divided into observation group (48 cases) and control group (48 cases) according to random number table method. The control group adopted routine intervention method, while the observation group adopted interactive intervention mode on the basis of routine intervention. One month and six months after operation, the quality of life and psychological status of patients were assessed with the Washington Medical University Quality of Life (UW-QOL) scale, Hospital Depression Anxiety Scale (HADS) and Symptom Checklist 90 (SCL-90). The differences of UW-QOL, HADS and SCL-90 scores between the two groups were compared. Result Six months after operation, the appearance score of the observation group was 83.1±15.6, and there was no significant difference between the observation group and the control group (80.8±17.2, t=0.686, P=0.494);the scores of other dimensions of UW-QOL scale were significantly higher than those of the control group (P<0.05), and the total score of UW-QOL in the observation group was 685.9±127.2, significantly higher than that of the control group in 744.8±134.7, with statistical difference(t=2.203, P=0.028). The scores of HADS-D (7.42±1.25 vs 9.53±1.31), HADS-A (7.67±0.96 vs 9.21±1.04) and SCL-90 in the observation group were significantly lower than those in the control group (P<0.05). Conclusion The application of interactive intervention model can significantly improve the quality of life and psychological status of patients with laryngeal cancer, reduce the incidence of anxiety and depression, and is of great help to patients rehabilitation and recovery to normal life.