基于根本原因分析法的多维模式干预在原发性肝癌患者围手术期的应用效果

Application effect of multidimensional mode intervention based on root cause analysis in the perioperative period of primary liver cancer patients

目的分析基于根本原因分析法的多维模式干预在原发性肝癌患者围手术期的应用效果。方法纳入上海交通大学医学院附属新华医院2021年9月至2023年9月拟行肝切除术的100例原发性肝癌患者,按随机数字表法将其分为对照组和研究组,各50例。对照组实施多维模式干预,研究组实施基于根本原因分析法的多维模式干预。比较两组希望水平[Herth希望量表(HHI)]、心理状态[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、生活质量[癌症患者生活质量测定量表-30(QLQ-C30)]及术后并发症。结果干预后,两组HHI评分高于干预,且研究组高于对照组(P<0.05)。两组SAS、SDS评分低于干预前,且研究组低于对照组(P<0.05)。研究组并发症总发生率低于对照组(P<0.05)。两组QLQ-C30评分高于干预前,且研究组高于对照组(P<0.05)。结论在原发性肝癌患者围手术期采用基于根本原因分析法的多维模式干预,可改善患者希望水平和心理状态,减少术后并发症发生,提高生活质量。

Objective To analyze the application effect of multidimensional mode intervention based on root cause analysis in the perioperative period of primary liver cancer patients.Methods A total of 100 patients with primary liver cancer who were to undergo hepatectomy in Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine from September 2021 to September 2023 were included,they were divided into control group and study group according to random number table method,with 50 patients in each group.The control group implemented multi dimensional mode intervention,and the study group implemented multidimensional mode intervention based on root cause analysis.Hope level(Herth hope index[HHI]),psychological state(self-rating anxiety scale[SAS],self-rating depression scale[SDS]),quality of life(quality of life questionnaire-core 30[QLQ-C30]),and postoperative complications were compared between the two groups.Results After intervention,HHI scores in two groups were higher than those in the intervention group,and those in the study group were higher than those in the control group(P<0.05).SAS and SDS scores of the two groups were lower than those before intervention,and the study group was lower than those of the control group(P<0.05).The total complication rate of study group was lower than that of control group(P<0.05).The QLQ-C30 score of the two groups was higher than that of the intervention group,and the study group was higher than that of the control group(P<0.05).Conclusion In the perioperative period of primary liver cancer patients,multidimensional intervention based on root cause analysis can improve the level of hope and psychological state of patients,reduce postoperative complications,and improve the quality of life.