多学科协作干预对急诊肺癌患者负性情绪、生活质量的影响

Effect of multidisciplinary collaborative intervention on negative emotions and quality of life in emergency lung cancer patients

目的探讨多学科协作干预对急诊肺癌患者负性情绪、生活质量的影响。方法依据干预方法的不同将96例急诊肺癌患者分为对照组和观察组,每组48例,对照组患者给予常规干预,观察组患者给予多学科协作干预。比较两组患者的下床活动时间、住院时间、负性情绪[汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)]、生活质量[癌症治疗功能评价系统-共性模块(FACT-G)]和并发症发生情况。结果观察组患者下床活动时间、住院时间均明显短于对照组,差异均有统计学意义(P﹤0.01)。干预后,两组患者HAMD、HAMA量表评分均低于本组干预前,观察组患者HAMD、HAMA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FACT-G量表各维度评分均高于本组干预前,观察组患者FACT-G量表各维度评分均高于对照组,差异均有统计学意义(P﹤0.05)。观察组患者的并发症总发生率为10.42%,低于对照组患者的27.08%,差异有统计学意义(P﹤0.05)。结论多学科协作干预应用于急诊肺癌患者,可促进患者恢复,改善负性情绪和生活质量,降低并发症发生率。

Objective To explore the effect of multidisciplinary collaborative intervention on negative emotions and quality of life in emergency patients with lung cancer.Method A total of 96 patients with lung cancer were divided into control group(n=48,received routine intervention)and observation group(n=48,received multidisciplinary collaborative intervention)according to different intervention methods.The time to get out of bed activities,hospitalization time,negative emotions[Hamilton depression scale(HAMD),Hamilton anxiety scale(HAMA)],quality of life[functional assessment of cancer therapy-general(FACT-G)]and complications of the two groups were compared.Result The time to get out of bed activities and hospitalization time in the observation group were shorter than those in the control group(P<0.01).After the intervention,the scores of HAMD and HAMA in both groups were lower than those before the intervention,with lower scores in the observation group than those in the control group(P<0.05).After the intervention,the dimensional scores of FACT-G in both groups were higher than those before the intervention,with higher scores in the observation group than those in the control group(P<0.05).The total incidence of complications in the observation group was 10.42%,which was lower than 27.08%in the control group,and the difference was statistically significant(P<0.05).Conclusion Multidisciplinary collaborative intervention can promote the recovery of patients,improve negative emotions and quality of life,and reduce complications of emergency patients with lung cancer.