系统性干预模式对下肢继发性淋巴水肿联合手术患者心理状况和生活质量的影响

Effect of systemic intervention model on mental status and quality of life in patients undergoing joint surgery for lower extremity secondary lymphedema

目的:探讨系统性干预模式对下肢继发性淋巴水肿联合手术患者心理状况和生活质量的影响。方法:回顾性分析我院在2017年1-10月期间接受下肢继发性淋巴水肿联合手术治疗的116例患者的临床资料,根据患者不同干预方式将患者分为两组,每组58例。对照组给予常规干预模式,观察组给予系统性干预模式。比较两组的焦虑自评量表测试(SAS)、抑郁自评量表(SDS)评分、生活质量及不同干预模式满意度。结果:观察组患者干预后的SAS和SDS评分均低于对照组(t=-8.961,-9.905;P<0.001)。观察组患者干预后躯体功能、社会功能、认知功能、角色功能及情感功能评分均高于对照组,差异有统计学意义(t=17.572,14.805,6.503,17.753,15.794;P<0.001)。观察组患者干预总满意率明显高于对照组(χ~2=7.004,P<0.05),差异有统计学意义。结论:下肢继发性淋巴水肿联合手术患者实施系统性干预模式可有效改善患者的心理状况,提高患者的生活质量及干预满意度,值得临床推广。

Objective:To investigate the effect of systemic intervention model on the psychological status and quality of life of patients with secondary lymphedema combined surgery.Methods:A retrospective analysis of our hospital in June 2016 to June 2017 with 116 cases of patients with lower extremity secondary lymphedema combined surgery was conducted.The patients were divided into two groups according to the type of care,58 in each group.The control group was given routine intervention model and the observation group was given systematic intervention model.The anxiety self-rating test(SAS),self-rating depression scale(SDS),quality of life and satisfaction were compared between the two groups.Results:After intervention,the scores of SAS and SDS in the observation group were lower than those in the control group(t=-8.961,-9.905;P<0.001).After intervention,the scores of physical function,social function,cognitive function,role function and emotional function in the observation group were higher than those in the control group(t=17.572,14.805,6.503,17.753,15.794;P<0.001).The total satisfaction rate of patients in the observation group was significantly higher than that of the control group(χ~2=7.004,P<0.05).Conclusion:For patients undergoing joint surgery of lower extremity secondary lymphedema,systematic intervention model can effectively improve the psychological status of patients and improve the quality of life of patients and satisfaction,which is worthy of clinical promotion.