多维度协同干预在乳腺癌合并冠心病同期手术患者中的应用效果

Application effect of multi-dimensional collaborative intervention in patients with breast cancer complicated with coronary heart disease undergoing simultaneous surgery

目的探讨多维度协同干预在乳腺癌合并冠心病同期手术患者中的应用效果。方法根据干预方法的不同将50例乳腺癌合并冠心病同期手术患者分为对照组(n=22)和观察组(n=28),对照组患者围手术期采用常规干预,观察组患者围手术期采用多维度协同干预。比较两组患者的围手术期指标、疼痛情况[数字分级评分法(NRS)]、负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、生活质量[世界卫生组织生存质量测定量表简表(WHOQOL-BREF)]及不良反应发生情况。结果观察组患者术后苏醒时间、首次肛门排气时间、住院时间均短于对照组,差异均有统计学意义(P﹤0.05)。术后第1、3天,观察组患者NRS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SAS、SDS评分均低于本组干预前,WHOQOL-BREF各维度评分均高于本组干预前,观察组患者SAS、SDS评分均低于对照组,WHOQOL-BREF各维度评分均高于对照组,差异均有统计学意义(P﹤0.05)。两组患者恶心呕吐、腹泻、食欲缺乏发生率比较,差异均无统计学意义(P﹥0.05)。结论多维度协同干预能有效缓解乳腺癌合并冠心病患者的负性情绪和疼痛程度,促进患者术后恢复,提高患者生活质量,且不会增加不良反应。

Objective To explore the application effect of multi-dimensional collaborative intervention in patients with breast cancer complicated with coronary heart disease undergoing simultaneous surgery.Method According to dif-ferent intervention methods,50 patients with breast cancer complicated with coronary heart disease who underwent simul-taneous surgery were divided into control group(n=22)and observation group(n=28).The control group received routine intervention during perioperative period,and the observation group received multi-dimensional collaborative intervention during perioperative period.The perioperative indicators,pain condition[numerical rating scale(NRS)],negative emo-tions[self-rating anxiety scale(SAS),self-rating depression scale(SDS)],quality of life[World Health Organization qual-ity of life-brief(WHOQOL-BREF)]and incidence of adverse reactions between the two groups were compared.Result The postoperative recovery time,first anal exhaust time and hospital stay in observation group were shorter than those in control group,and the differences were statistically significant(P<0.05).On the 1st and 3rd day after surgery,the NRS scores in observation group were lower than those in control group,and the differences were statistically significant(P<0.05).After intervention,the scores of SAS and SDS in two groups were lower than those before intervention,the dimen-sional scores of WHOQOL-BREF were higher than those before intervention,the scores of SAS and SDS in observation group were lower than control group,the dimensional scores of WHOQOL-BREF were higher than those in control group,and the differences were statistically significant(P<0.05).There were no significant differences in the incidence of nausea and vomiting,diarrhea,anorexia between the two groups(P>0.05).Conclusion Multi-dimensional collaborative intervention can effectively relieve negative emotions and pain in patients with breast cancer complicated with coronary heart disease,promote postoperative recovery and improve quality of life of patients,and do not increase adverse reac-tions.