家庭联合一体化模式干预对脑胶质瘤患者术后应激、心理波动的影响

Effect of family united integration mode intervention on postoperative stress and psychological fluctuation in patients with glioma

目的探讨家庭联合一体化模式干预对脑胶质瘤患者术后应激、心理波动的影响。方法采用随机数字表法将116例脑胶质瘤患者分为对照组和观察组,每组58例,对照组患者给予一体化护理,观察组患者给予一体化护理联合家庭干预模式。比较两组患者的心理波动情况[汉密尔顿抑郁量表(HAMD)、焦虑自评量表(SAS)、抑郁自评量表(SDS)]、应激指标[收缩压、心率、C反应蛋白(CRP)]及生活质量[简明健康状况调查问卷(SF-36)]。结果术后1天、干预1周及出院前,两组患者SAS、SDS、HAMD评分均低于本组术前(P﹤0.05),且观察组患者SAS、SDS、HAMD评分均低于对照组(P﹤0.05)。术后即刻、术后2天及干预1周,两组患者收缩压、心率、CRP水平均低于本组术前(P﹤0.05),且观察组患者术后即刻、术后2天的收缩压均低于对照组(P﹤0.05),术后即刻、术后2天及干预1周的心率均低于对照组(P﹤0.05),术后2天、干预1周的CRP水平均低于对照组(P﹤0.05)。干预后,两组患者SF-36量表各维度评分均高于本组入院时(P﹤0.05),且观察组患者SF-36量表各维度评分均高于对照组(P﹤0.05)。观察组不良事件总发生率为17.24%,明显低于对照组患者的41.38%(P﹤0.01)。结论家庭干预联合一体化干预模式能有效缓解患者的负性情绪,降低并发症发生率,改善生活质量。

Objective To explore the effect of family united integration mode intervention on postoperative stress and psychological fluctuations in patients with glioma.Method The random number table method divides 116 patients with glioma into a control group and an observation group,with 58 cases in each group.Patients in the control group were given integrated care,and patients in the observation group were given integrated care combined with family intervention mode.Compare the psychological fluctuations of the two groups of patients[Hamilton depression scale(HAMD),self-rating anxiety scale(SAS),self-rating depression scale(SDS)],stress indicators[systolic blood pressure,heart rate,Creactive protein(CRP)]and quality of life[the MOS item-short form health survey(SF-36)].Result One day after operation,one week after intervention,and before discharge,the scores of SAS,SDS,and HAMD of the two groups were lower than those of the preoperative group(P<0.05),and the scores of SAS,SDS,and HAMD of the observation group were lower than those of the control group(P<0.05).Immediately after the operation,two days after the operation and one week after the intervention,the systolic blood pressure,heart rate,and CRP levels of the two groups of patients were lower than those before the operation(P<0.05),the systolic blood pressure of the observation group immediately after the operation and two days after the operation was lower than that of the control group(P<0.05),and the heart rate immediately after the operation,two days after the operation and one week after the intervention were lower than the control group(P<0.05),and the CRP levels of two days after operation and one week of intervention were lower than those of the control group(P<0.05).After the intervention,the scores of all dimensions of the SF-36 scale of the two groups of patients were higher than those of this group at admission(P<0.05),and the scores of all dimensions of the SF-36 scale of the observation group were higher than those of the control group(P<0.05).The total incidence of adverse events in the observation group was 17.24%,which was significantly lower than 41.38%in the control group(P<0.01).Conclusion Family intervention combined with an integrated intervention model can effectively alleviate patients’negative emotions,reduce the incidence of complications,and improve the quality of life.