多模式心理护理对恶性肿瘤患者术后心理状态、生存质量的影响研究

Effect of Multimode Psychological Nursing on Postoperative Psychological State and Quality of Life of Patients with Malignant Tumor

目的探索多模式心理护理应用于恶性肿瘤患者中对术后心理状态、生存质量的影响。方法于本院肿瘤科2017年3月至2018年7月收治的恶性肿瘤患者中选出128例为对象,均行根治性手术治疗。采用随机数字表法分组:对照组行常规围手术期护理,观察组在此基础上给予多模式心理护理。对比两组术后的心理状态评分、生存质量评分等。结果术前3 d两组的SAS、SDS评分对比差异无统计学意义,P>0.05;术前6 h和术后7 d的SAS、SDS评分比较:观察组均低于对照组,P<0.001;术后6个月的生存质量量表EORTC QLQ-C30的角色职能、社会职能、情绪职能、认知职能和躯体职能评分比较:观察组均高于对照组,P<0.001。结论多模式心理护理的应用促进恶性肿瘤患者围手术期心理障碍的缓解,提高术后生存质量,值得推广。

Objective To explore the effect of multi-mode psychological nursing on postoperative psychological state and quality of life in patients with malignant tumor.Methods One hundred and twenty-eight of the patients with malignant tumor from March 2017 to July 2018 were selected to be treated by radical operation.Random number table method was used to group:the control group received routine perioperative nursing,and the observation group received multi-modal psychological nursing on this basis.The scores of psychological state and quality of life were compared between the two groups.Results The scores of SAS and SDS in the pre-operative 3 d group were not statistically significant,P>0.05.Comparison of SAS and SDS scores between 6 hours before operation and 7 days after operation:the observation group was lower than the control group,P<0.001.The performance function,social function,emotional function,cognitive function and physical function score of EORTC QLQ-C30 at 6 months after operation:the observation group were higher than that of control group(P<0.001).Conclusion The application of multi-mode psychological nursing can promote the relief of the psychological barrier in the patients with malignant tumor and improve the quality of life after operation.