系统性联合个体化干预对经内镜黏膜下剥离术治疗早期胃癌患者围手术期指标、疼痛及心理状态的影响

Effect of systemic intervention combined with individualized intervention on perioperative indicators,pain and psychological status of patients with early gastric cancer treated by endoscopic submucosal dissection

目的探讨系统性联合个体化干预对经内镜黏膜下剥离术治疗早期胃癌患者围手术期指标、疼痛及心理状态的影响。方法根据干预方法的不同将行内镜黏膜下剥离术治疗的92例早期胃癌患者分为对照组(n=42,系统性干预)和观察组(n=50,系统性联合个体化干预)。比较两组患者的围手术期指标(手术时间、术后禁食时间、住院时间),干预前后的疼痛状况、心理状态以及干预满意度。结果观察组患者的手术时间、术后禁食时间、住院时间均明显短于对照组患者(P﹤0.01)。干预后,观察组患者的焦虑自评量表(SAS)、抑郁自评量表(SDS)和视觉模拟评分量表(VAS)评分均明显低于对照组患者(P﹤0.01)。干预后,观察组患者的干预满意度为96.00%(48/50),高于对照组患者的80.95%(34/42)(P﹤0.05)。结论采用系统性联合个体化干预应用于行内镜黏膜下剥离术治疗的早期胃癌患者中,可促进患者恢复,改善患者的焦虑、抑郁情绪,缓解患者的术后疼痛感,提高患者的满意度。

Objective To investigate the effect of systemic intervention combined with individualized intervention on perioperative indicators,pain and psychological status of patients with early gastric cancer treated by endoscopic submucosal dissection.Method A total of 92 patients with early gastric cancer who underwent endoscopic submucosal dissection were selected and their clinical data were collected.All subjects were divided into the control group(42 cases,systemic intervention)and observation group(50 cases,systemic intervention combined with individualized intervention)according to different intervention methods.The perioperative indicators(operation time,postoperative fasting period,hospitalization time),grade of pain,psychological status and intervention satisfaction before and after intervention were compared between the two groups.Result The operation time,postoperative fasting time and hospitalization time of the observation group were significantly shorter than those of the control group(P<0.01).After the intervention,the self-rating anxiety scale(SAS)and self-rating depression scale(SDS)scores and the visual analogue scale(VAS)score of the observation group were significantly lower than those of the control group(P<0.01).After the intervention,the intervention satisfaction of the observation group was 96.00%(48/50),which was higher than 80.95%(34/42)of the control group(P<0.05).Conclusion The employment of systemic combined and individualized intervention in patients with early gastric cancer undergoing endoscopic submucosal dissection can promote the recovery,relief the anxiety and depression,ease the postoperative pain and improve the satisfaction of the patient.