围手术期综合宣教干预对直肠癌根治术患者心理状态和生活质量的影响

Effects of perioperative comprehensive health education intervention on the psychological state and quality of life of patients undergoing radical resection of rectal cancer

目的探讨围手术期综合宣教干预对直肠癌根治术患者心理状态及生活质量的影响。方法将120例直肠癌根治术患者根据干预方式的不同分为对照组(n=60)和观察组(n=60)。对照组患者采取常规干预,观察组患者在对照组的基础上采取围手术期综合宣教干预。比较两组患者心理状态[汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)]、生活质量[健康调查简表(SF-36)]、满意度、遵医行为、并发症发生情况及住院时间。结果干预后,两组患者HAMA、HAMD量表评分均较干预前降低,且观察组患者HAMA、HAMD量表评分均低于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者生理功能、躯体疼痛、社会功能、情感职能、精神健康评分均较干预前升高,且观察组患者生理功能、躯体疼痛、社会功能、情感职能、精神健康评分均高于对照组,差异均有统计学意义(P﹤0.05)。观察组患者总遵医率和满意度均高于对照组患者,差异均有统计学意义(P﹤0.05)。两组患者并发症总发生率比较,差异无统计学意义(P﹥0.05)。观察组患者住院时间明显短于对照组,差异有统计学意义(P﹤0.01)。结论围手术期综合宣教干预可缩短直肠癌根治术患者住院时间,改善患者不良心理状态及遵医行为,提高患者生活质量及满意度,有利于患者术后康复。

Objective To investigate the effect of perioperative comprehensive health education intervention on the psychological state and quality of life of patients undergoing radical resection of rectal cancer.Method A total of 120 patients undergoing radical resection of rectal cancer were divided into control group(n=60)and observation group(n=60)according to different intervention methods.Patients in the control group received routine intervention,and patients in the observation group received perioperative comprehensive health education intervention based on the control group.Mental state[Hamilton depression rating scale(HAMD),Hamilton anxiety rating scale(HAMA)],quality of life[the MOS 36-item short form health survey(SF-36)],satisfaction,medical compliance behavior,complications,and hospital stay were compared between the two groups.Result After the intervention,the HAMA and HAMD scores of the two groups were lower than those before the intervention,and the scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).After the intervention,the physiological function,physical pain,social function,emotional function,and mental health scores of the two groups were all higher than those before the intervention,and the scores of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).The total compliance rate and satisfaction rate in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).There was no significant difference in the total incidence of complications between the two groups(P>0.05).The hospitalization time in the observation group was significantly shorter than that in the control group,and the difference was statistically significant(P<0.01).Conclusion Perioperative comprehensive health education could shorten the hospital stay of patients undergoing radical resection of rectal cancer,improve patients’negative psychological state and medical compliance behavior,and improve their quality of life and satisfaction.This method is conducive to the postoperative rehabilitation of patients.