结构式心理干预对食管癌患者术后恢复、生活自理能力和心理状态的影响

Effect of structural psychological intervention on postoperative recovery,self-care ability and mental state of patients with esophageal cancer

目的探讨结构式心理干预对食管癌患者术后恢复、生活自理能力和心理状态的影响。方法选取98例食管癌患者,依据干预方式将分为观察组和对照组,每组49例,对照组给予常规护理干预,观察组在此基础上给予结构式心理干预。比较两组患者的术后恢复情况、生活自理能力、心理状态及术后并发症发生情况。结果观察组患者胸管留置时间、首次下床时间、住院时间均明显短于对照组(P﹤0.01)。干预后,观察组患者的生活自理能力明显优于本组干预前和对照组(P﹤0.01)。干预后,两组患者焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均明显低于本组干预前(P﹤0.01),且观察组患者SAS、SDS评分均明显低于对照组(P﹤0.01)。干预后,观察组患者并发症总发生率为12.24%,低于对照组的44.90%(P﹤0.05)。结论结构式心理干预可促进食管癌患者的术后恢复,改善生活自理能力,改善负性情绪和术后并发症发生情况。

Objective To explore the effect of structural psychological intervention on postoperative recovery,selfcare ability and mental state of patients with esophageal cancer.Method According to the intervention method,98 patients with esophageal cancer were divided into observation group and control group,each with 49 cases.The control group received routine nursing intervention,and the observation group received structural psychological intervention on this basis.The postoperative recovery,self-care ability,mental state and postoperative complications of the two groups were compared.Result The chest tube indwelling time,the time to get out of bed for the first time,and the length of stay in the observation group were significantly shorter than those in the control group,and the differences were statistically significant(P<0.01).After the intervention,the self-care ability of the observation group was significantly better than that of the pre-intervention and the control group(P<0.01).After the intervention,the scores of the two groups of patients on the self-rating anxiety scale(SAS)and self-rating depression scale(SDS)were significantly lower than those of this group before the intervention(P<0.01),and the SAS score and SDS score of the observation group were significantly lower than those of the control group(P<0.01).After the intervention,the total incidence of complications in the observation group was 12.24%,which was significantly lower than the 44.90%in the control group(P<0.05).Conclusion Structural psychological intervention can promote postoperative recovery of patients with esophageal cancer,improve self-care ability in life,and improve negative emotions and postoperative complications.