聚焦解决模式对肝癌经导管动脉栓塞化疗术患者负性情绪及生活质量的影响

Effect of focused solution mode on negative emotion and quality of life in patients with liver cancer transcatheter arterial chemoembolization

目的探讨聚焦解决模式对肝癌经导管动脉栓塞化疗术(TACE)患者负性情绪及生活质量的影响。方法将100例行TACE术的肝癌患者按不同干预方式分为对照组和观察组,每组50例,对照组患者予以术后常规干预,观察组患者在对照组基础上施以聚焦解决模式。两组患者均干预2个月,比较两组患者焦虑自评量表(SAS)、抑郁自评量表(SDS)评分、并发症发生率、生活质量指数量表(QLI)评分、满意度、术后1及2年复发率、生存率。结果干预后,观察组患者SAS、SDS评分均明显低于对照组(P﹤0.01)。观察组患者术后并发症总发生率为12.00%,明显低于对照组的48.00%(P﹤0.01)。干预后,观察组患者QLI量表各维度评分均明显高于对照组(P﹤0.01)。观察组患者干预态度、干预水平、沟通能力及教育全面性满意度评分均明显高于对照组(P﹤0.01)。两组患者术后1、2年复发率及生存率比较,差异均无统计学意义(P﹥0.05)。结论聚焦解决模式可显著改善肝癌患者TACE术后负性情绪,降低术后并发症发生率,提高患者生活质量和满意度。

Objective To explore the effect of focused solution mode on negative emotion and quality of life in pa-tients with liver cancer transcatheter arterial chemoembolization(TACE).Method A total of 100 patients with liver can-cer who underwent TACE were divided into the control group(n=50,treated with routine intervention)and the observa-tion group(n=50,treated with focused solution mode on the basis of the control group)according to the different interven-tion methods.Both groups were intervened for 2 months.The differences of self-rating anxiety scale(SAS),self-rating de-pression scale(SDS),incidence of complications,quality of life index(QLI)score,satisfaction rate and postoperative 1-year and 2-year recurrence rate and survival rate were compared between the two groups.Result After intervention,the scores of SAS and SDS in the observation group were significantly lower than those in the control group(P<0.01);the to-tal incidence of postoperative complications in the observation group was significantly lower than that in the control group(12.00%vs 48.00%,P<0.01);the various dimensional scores of QLI in the observation group were significantly higher than those in the control group(P<0.01).The satisfaction scores of intervention attitude,intervention level,com-munication ability and comprehensive education in the observation group were significantly higher than those in the con-trol group(P<0.01).There was no significant difference in 1-year and 2-year postoperative recurrence rate and survival rate between the two groups(P>0.05).Conclusion The focused solution model can significantly improve the negative emotion of liver cancer patients after TACE,reduce the rate of postoperative complications,and improve the quality of life and satisfaction of patients.