协作干预对胶质瘤照顾者精神困扰的影响

Effect of collaborative intervention on mental distress in glioma caregivers

目的探讨协助干预对胶质瘤照顾者精神困扰的影响。方法采用随机数字表法将82例胶质瘤术后患者及其82名主要照顾者分为对照组和观察组,每组41例。对照组采用术后传统干预和宣教方式,观察组在对照组的基础上对患者及主要照顾者进行协作干预。比较两组主要照顾者的明尼苏达多项人格测验(MMPI)、汉密尔顿焦虑量表(HAMA)以及汉密尔顿抑郁量表(HAMD)评分和两组患者的住院时间、并发症发生情况、满意度情况。结果干预后,两组主要照顾者MMPI中各量表评分均下降,且观察组主要照顾者MMPI中各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,观察组MMPI中没有出现异常评分,而对照组中抑郁量表、精神病态量表、妄想量表、精神衰弱量表、轻躁狂量表以及社会内向量表均为异常分数。干预后,观察组主要照顾者焦虑、抑郁情况均优于对照组,差异均有统计学意义(P﹤0.05)。观察组患者并发症总发生率低于对照组,住院时间短于对照组,满意度评分高于对照组,差异均有统计学意义(P﹤0.05)。结论协作干预能够有效改善胶质瘤患者的健康状况,并对改善胶质瘤照顾者精神困扰具有显著作用,对照顾者可能出现的心理压力进行了有效预防。

Objective To investigate the effect of collaborative intervention on mental distress in glioma caregivers.Method A total of 82 postoperative glioma patients and 82 primary caregivers were divided into control group and observation group according to random number table,with 41 cases in each group.The control group received the traditional postoperative nursing and education,and the observation group received collaborative intervention for patients and caregivers on the basis of the control group.The scores of Minnesota multiphasic personality inventory(MMPI),Hamilton anxiety scale(HAMA)and Hamilton depression scale(HAMD)were compared between the two groups of caregivers,and the hospitalization time,complications and satisfaction of patients were compared.Result After intervention,the scores of MMPI of caregivers in the two groups were decreased,with lower scores in the observation group than those in the control group(P<0.05).There were no abnormal scores of MMPI in the observation group,but the scores of depression scale,psychopathy scale,delusion scale,frailty scale,hypomania scale,and social introversion scale were abnormal in the control group.After intervention,anxiety and depression of caregivers in the observation group were better than those in the control group(P<0.05).The overall incidence of complications in the observation group was lower than that in the control group,hospitalization time was shorter than that in the control group,and satisfaction was higher than that in the control group(P<0.05).Conclusion Collaborative intervention can effectively improve the health status of glioma patients,and has a significant effect on the improvement of mental distress of glioma caregivers,and can effectively prevent the possible psychological stress of caregivers.