家属参与式干预对膀胱癌根治术后尿路造口患者心理状态和生活质量的影响

Effect of family-participated intervention on psychological state and quality of life of patients with urostomy after radical bladder cancer surgery

目的探讨家属参与式干预对膀胱癌根治术后尿路造口患者心理状态和生活质量的影响。方法根据干预方法的不同将104例膀胱癌根治术后尿路造口患者分为对照组(n=52,常规干预)和观察组(n=52,家属参与式干预)。比较两组患者的心理状态[焦虑自评量表(SAS)和抑郁自评量表(SDS)]、生活质量[癌症患者生命质量测定量表(FACT-G)]、并发症发生情况及满意度。结果干预后,两组患者SAS、SDS评分均低于本组干预前,观察组患者SAS、SDS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各维度评分均高于本组干预前,观察组患者FACT-G各维度评分均高于对照组,差异均有统计学意义(P﹤0.05)。观察组患者并发症总发生率低于对照组,总满意度高于对照组,差异均有统计学意义(P﹤0.05)。结论家属参与式干预可改善膀胱癌根治术后尿路造口患者的心理状态和生活质量,降低并发症发生率,进而提高患者的满意度。

Objective To investigate the effect of family-participated intervention on psychological state and quality of life of patients with urostomy after radical bladder cancer surgery.Method A total of 104 patients with urostomy after radical bladder cancer surgery were divided into control group(n=52,routine intervention)and observation group(n=52,family-participated intervention)according to different intervention methods.The psychological state[self-rating anxiety scale(SAS),self-rating depression scale(SDS)],quality of life[functional assessment of cancer therapy-general(FACT-G)],complications and satisfaction of the two groups were compared.Result After intervention,the SAS and SDS scores of the two groups were lower than those before intervention,the SAS and SDS scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).After intervention,the scores of each dimension of FACT-G in both groups were higher than those before 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 incidence of complications in the observation group was lower than that in the control group,the total satisfaction rate was higher than that in the control group,and the differences were statistically significant(P<0.05).Conclusion Family-participated intervention can improve the psychological state and quality of life of patients with urostomy after radical bladder cancer surgery,reduce the incidence of complications,and improve satisfaction.