三维干预模式在肝癌术后慢加急性肝衰竭患者中的应用效果

Application effect of three-dimensional intervention model in patients with acute-on-chronic liver failure after liver cancer surgery

目的探讨三维干预模式在肝癌术后慢加急性肝衰竭(ACLF)患者中的应用效果。方法将106例肝癌术后ACLF患者按照干预模式的不同分为观察组(三维干预模式)57例和对照组(常规干预)49例。比较两组患者焦虑自评量表(SAS)、抑郁自评量表(SDS)、生活质量综合评定问卷-74(GQOLI-74)、匹兹堡睡眠质量指数(PSQI)评分,并记录并发症发生情况。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、生理功能、社会功能、物质生活评分均较干预前升高,且观察组患者躯体功能、生理功能、社会功能、物质生活评分均高于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者PSQI量表各维度评分均较干预前降低,且观察组患者PSQI量表各维度评分均低于对照组,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,差异有统计学意义(P﹤0.05)。结论将三维干预模式应用于肝癌术后ACLF患者中,可有效改善患者心理状况,提高睡眠质量与生活质量,且能有效降低相关并发症发生率,值得临床推广。

Objective To explore the application effect of three-dimensional intervention model in patients with acute-on-chronic liver failure(ACLF)after liver cancer surgery.Method A total of 106 postoperative ACLF patients with liver cancer were divided into observation group(three-dimensional intervention mode)of 57 cases and control group(conventional intervention)of 49 cases according to different intervention modes.The scores of self-rating anxiety scale(SAS),self-rating depression scale(SDS),general quality of life inventory-74(GQOLI-74)and Pittsburgh sleep quality index(PSQI)were compared between the two groups,and the incidence of complications was recorded.Result After the intervention,the SAS and SDS scores of the two groups were lower than those before the intervention,and the SAS and SDS scores of the observation group were lower than those of the control group,the differences were statistically significant(P<0.05).After the intervention,the scores of physical function,physiological function,social function and material life of the two groups were higher than those before the intervention,and the scores of physical function,physiological function,social function and material life of the observation group were higher than those of the control group,the differences were statistically significant(P<0.05).After the intervention,the PSQI scores of the two groups were lower than those before the intervention,and the PSQI scores of the observation group were lower than those of the control group,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 difference was statistically significant(P<0.05).Conclusion The application of three-dimensional intervention model in patients with ACLF after liver cancer surgery can effectively improve the psychological status of patients,improve the quality of sleep and life,and effectively reduce the incidence of related complications,which is worthy of clinical promotion.