优质干预对结直肠癌患者负性情绪 、疼痛程度和依从性的影响

Effect of high-quality intervention on negative emotion,pain level,and compliance in patients with colorectal cancer

目的 探讨优质干预对结直肠癌患者负性情绪、疼痛程度和依从性的影响。方法 按照干预方法的不同将90例结直肠癌患者分为常规组和优质干预组,每组45例,常规组患者给予常规干预,优质干预组患者给予优质干预。比较两组患者的负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、疼痛程度[视觉模拟评分法(VAS)]、生活质量[健康调查简表(SF-36)]及依从性。结果 干预后,两组患者SAS、SDS、VAS评分均低于本组干预前,优质干预组患者SAS、SDS、VAS评分均低于常规组,差异均有统计学意义(P﹤0.05)。干预后,两组患者SF-36量表各维度评分均高于本组干预前,优质干预组患者SF-36量表各维度评分均高于常规组,差异均有统计学意义(P﹤0.05)。优质干预组患者的总依从率为95.56%,明显高于常规组患者的66.67%,差异有统计学意义(P﹤0.01)。结论 优质干预能有效改善结直肠癌患者的负性情绪和疼痛程度,提高生活质量和依从性,对患者术后恢复有积极作用。

Objective To investigate the effect of high-quality intervention on negative emotion,pain level,and com-pliance in patients with colorectal cancer.Method A total of 90 colorectal cancer patients were divided into routine group and high-quality intervention group according to different intervention methods,with 45 cases in each group.Pa-tients in the routine group were given routine intervention,and patients in the high-quality intervention group were given high-quality intervention.Negative emotions[self-rating anxiety scale(SAS),self-rating depression scale(SDS)],pain level[visual analogue scale(VAS)],quality of life[the MOS 36-item short form health survey(SF-36)]and intervention compliance were compared between the two groups.Result After the intervention,the SAS,SDS,and VAS scores of the two groups were lower than those before the intervention,and the scores of the high-quality intervention group were lower than those of the routine group,and the differences were statistically significant(P<0.05).After the intervention,the scores of each dimension of the SF-36 scale in the two groups were higher than those before the intervention,and the scores in the high-quality intervention group were higher than those in the routine group,and the differences were statisti-cally significant(P<0.05).The total compliance rate of patients in the high-quality intervention group was 95.56%,which was higher than 66.67%in the routine group,and the difference was statistically significant(P<0.01).Conclusion High-quality intervention could effectively improve the negative emotions and pain levels of colorectal cancer patients,im-prove their quality of life and compliance,and have a positive effect on postoperative recovery.