全程康复管理对骨肉瘤手术患者负性情绪、术后并发症及生活质量的影响

Effect of holistic rehabilitation management on negative emotions,postoperative complications,and quality of life of osteosarcoma patients

目的探讨全程康复管理对骨肉瘤手术患者负性情绪、术后并发症及生活质量的影响。方法将120例骨肉瘤手术患者按围手术期干预方式不同分为对照组(n=60,给予常规管理)和观察组(n=60,给予全程康复管理)。干预1个月后,比较两组患者手术情况、康复情况、负性情绪、术后并发症及生活质量。结果两组患者手术时间、术中出血量、丙泊酚和瑞芬太尼用量比较,差异均无统计学意义(P﹥0.05)。观察组患者首次经口进食时间、首次下床时间、首次排气时间及术后住院时间均明显短于对照组,并发症总发生率低于对照组,差异均有统计学意义(P﹤0.05)。干预前,两组患者焦虑自评量表(SAS)、抑郁自评量表(SDS)、生活质量(QOL)评分比较,差异均无统计学意义(P﹥0.05);干预后,两组患者SAS及SDS评分均降低,QOL各维度评分均提高(P﹤0.05),且观察组患者SAS及SDS评分均明显低于对照组,QOL各维度评分均明显高于对照组(P﹤0.01)。结论对骨肉瘤手术患者围手术期实施全程康复管理,可加快患者术后康复,减轻患者负性情绪,降低术后并发症发生率,改善患者生活质量。

Objective To investigate the effect of holistic rehabilitation management on negative emotions,postoperative complications,and quality of life of osteosarcoma patients.Method A total of 120 patients with osteosarcoma surgery were divided into a control group(n=60,given routine management)and an observation group(n=60,given holistic rehabilitation management)according to varying perioperative interventions.After one month of intervention,the surgical status,recovery status,negative emotions,postoperative complications,and quality of life of the two groups were compared.Result There was no statistically significant difference in the operation time,intraoperative blood loss volume,the usage of propofol and remifentanil between the two groups(P>0.05).The first oral feeding time,getting out of bed time,exhausting time,and postoperative hospital stay time in the observation group were significantly shorter than those of the control group,the total incidence of complications was lower than that of the control group,the differences were statistically significant(P<0.05).Before the intervention,there were no statistically significant differences between the two groups of patients on the self-rating anxiety scale(SAS),self-rating depression scale(SDS),and quality of life(QOL)scores(P>0.05).After the intervention,the SAS and SDS scores of the two groups of patients were reduced,the QOL scores of all dimensions were improved(P<0.05),and the SAS and SDS scores of the observation group were significantly lower than those of the control group,the QOL scores of all dimensions were significantly higher than that of the control group(P<0.01).Conclusion The implementation of perioperative holistic rehabilitation management for patients with osteosarcoma undergoing surgery treatment could speed up the postoperative recovery of patients,relieve their negative emotions,reduce the incidence of postoperative complications,and improve their quality of life.