舒适干预对脑胶质瘤患者术后焦虑、抑郁情绪的影响

Effect of comfort intervention on anxiety and depression in patients with glioma after surgery

目的探讨舒适干预对脑胶质瘤患者术后焦虑、抑郁情绪的影响。方法将98例脑胶质瘤手术患者按干预方法的不同分为对照组(给予常规干预)与观察组(给予舒适干预),每组49例。比较两组患者的不良情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、生活质量[欧洲癌症研究与治疗组织生命质量测定量表(EORTC QLQ-C30)]、并发症发生情况和满意度。结果干预后,两组患者SAS、SDS评分均较干预前降低,且观察组患者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,两组患者躯体功能、认知功能、情绪功能、角色功能、社会功能评分均较干预前升高,且观察组患者躯体功能、认知功能、情绪功能、角色功能、社会功能评分均高于对照组,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)。结论舒适干预可缓解脑胶质瘤手术患者的不良情绪,改善其生活质量,同时还能降低并发症发生率,有助于进一步提升患者的满意度。

Objective To investigate the effect of comfort intervention on anxiety and depression in patients with glioma after surgery.Method A total of 98 patients with glioma who underwent surgery were divided into control group(routine intervention)and observation group(comfort intervention)according to different intervention methods,with 49 cases in each group.The adverse mood[self-rating anxiety scale(SAS),self-rating depression scale(SDS)],quality of life[European Organization for Research and Treatment of Cancer quality of life questionnaire core 30(EORTC QLQC30)],incidence of complications and satisfaction of the two groups were compared.Result After intervention,the scores of SAS and SDS in two groups were lower than those before intervention,and the scores of SAS and SDS in observation group were lower than those in control group,the differences were statistically significant(P<0.05).After intervention,the scores of physical function,cognitive function,emotional function,role function and social function in two groups were higher than those before intervention,and the scores of physical function,cognitive function,emotional function,role function and social function in observation group were higher than those in control group,the differences were statistically significant(P<0.05).The total incidence of complications of observation group was lower than that of control group,and the total satisfaction rate was higher than that of control group,the differences were statistically significant(P<0.05).Conclusion Comfort intervention can alleviate the adverse mood of glioma patients who underwent surgery,improve their quality of life,and reduce the incidence of complications,which is helpful to further improve the satisfaction of patients.