阶段性康复治疗联合针对性心理干预在腹腔镜肝癌根治术患者中的应用效果

Application effect of staged rehabilitation therapy combined with targeted psychological intervention in patients with laparoscopic hepatectomy

目的目的探讨阶段性康复治疗联合针对性心理干预在腹腔镜肝癌根治术(LH)患者中的应用效果。方法根据干预方法的不同将60例LH患者分为对照组(n=25)和观察组(n=35),两组患者围手术期均采用阶段性康复治疗,对照组患者在阶段性康复治疗的基础上联合常规干预,观察组患者在阶段性康复治疗的基础上联合针对性心理干预。比较两组患者的心理状态[简明心境量表(BPOMS)]、生活质量[肝病生活质量量表(LDQOL)]、术后并发症发生情况及满意情况。结果结果干预后,两组患者BPOMS量表各维度评分均低于本组干预前,LDQOL量表各维度评分均高于本组干预前,观察组患者BPOMS量表各维度评分均低于对照组,LDQOL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)。观察组患者的术后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)。结论结论阶段性康复治疗联合针对性心理干预应用于LH患者中,能显著改善患者的心理状态,提高生活质量,降低并发症发生率,提高患者的满意度。

Objective To explore the application effect of staged rehabilitation therapy combined with targeted psy-chological intervention in patients with laparoscopic hepatectomy(LH).Method A total of 60 LH patients were divided into control group(n=25)and observation group(n=35)according to different intervention methods.All patients received staged rehabilitation therapy during perioperative period.The control group received routine intervention on the basis of staged rehabilitation therapy,and the observation group received targeted psychological intervention on the basis of staged rehabilitation therapy.The psychological state[brief profile of mood states(BPOMS)],quality of life[liver disease quality of life questionnaire(LDQOL)],incidence of postoperative complications and satisfaction of the two groups were compared.Result After intervention,the dimensional scores of BPOMS scale in two groups were lower than those be-fore intervention,the dimensional scores of LDQOL scale were higher than those before intervention,the dimensional scores of BPOMS scale in observation group were lower than those in control group,the dimensional scores of LDQOL scale were higher than those in control group,and the differences were statistically significant(P<0.05).The total inci-dence of postoperative complications in observation group was lower than that in control group,the total satisfaction rate was higher than that in control group,and the differences were statistically significant(P<0.05).Conclusion Staged re-habilitation therapy combined with targeted psychological intervention in patients with LH can significantly improve the psychological states of patients,improve the quality of life,reduce the incidence of complications,and improve the satis-faction of patients.