Objective: To research the relationship between psychological stress and doctor-patient relationship of cancer patients and their families. Methods: The patients were randomly divided into the intervention group and t...Objective: To research the relationship between psychological stress and doctor-patient relationship of cancer patients and their families. Methods: The patients were randomly divided into the intervention group and the control group, and PDRQ-15, pcl-c, SAS and SDS scales were selected as evaluation indexes, and the levels of norepinephrine and dopamine were compared between the patients diagnosed with PTSD cancer and those without PTSD. Results: 1) The total score of PCL-C, SAS, SDS, PDRQ-15 scale of the cancer patients and their families after the intervention of clinical psychological care was significantly lower than that of before intervention and the control group. 2) The correlation coefficients between PCL-C, SAS, SDS and PDRQ-15 of cancer patients and their relatives were 0.971, 0.952 and 0.939 respectively. The significant test P value was less than 0.05 and the difference was statistically significant. 3) The plasma levels of dopamine and norepinephrine in cancer patients under stress were significantly higher than those in cancer patients without stress (P Conclusion: After psychological Intervention of cancer patients and their families, post-traumatic stress disorder, anxiety, depression and doctor-patient relationship were all improved.展开更多
目的:探讨家属参与的肺康复引导模式对肺癌单侧肺叶切除术患者的影响。方法:选取2021年5月—2022年7月泰安市第一人民医院收治的40例肺癌单侧肺叶切除术患者作为观察组,选取2022年8月—2023年10月本院收治的40例肺癌单侧肺叶切除术患者...目的:探讨家属参与的肺康复引导模式对肺癌单侧肺叶切除术患者的影响。方法:选取2021年5月—2022年7月泰安市第一人民医院收治的40例肺癌单侧肺叶切除术患者作为观察组,选取2022年8月—2023年10月本院收治的40例肺癌单侧肺叶切除术患者作为对照组。对照组给予常规干预,观察组在对照组基础上给予家属参与的肺康复引导模式。比较两组术前及术后7 d肺功能,相关指标,并发症,心理状态。结果:术后7 d,观察组第1秒用力呼气容积(FEV1)/用力肺活量(FVC)%、最大自主通气量(MVV)均显著高于对照组,差异有统计学意义(P<0.001)。观察组胸腔闭式引流时间、住院时间均短于对照组,术后7 d 6分钟步行距离长于对照组,差异有统计学意义(P<0.001)。观察组术后并发症发生率低于对照组,差异有统计学意义(P<0.05)。观察组干预2周后抑郁自评量表(SDS)评分、焦虑自评量表(SAS)评分均低于对照组,差异有统计学意义(P<0.001)。结论:家属参与的肺康复引导模式能有效改善肺癌单侧肺叶切除术患者的肺功能,减少术后并发症,减轻负面情绪。展开更多
文摘Objective: To research the relationship between psychological stress and doctor-patient relationship of cancer patients and their families. Methods: The patients were randomly divided into the intervention group and the control group, and PDRQ-15, pcl-c, SAS and SDS scales were selected as evaluation indexes, and the levels of norepinephrine and dopamine were compared between the patients diagnosed with PTSD cancer and those without PTSD. Results: 1) The total score of PCL-C, SAS, SDS, PDRQ-15 scale of the cancer patients and their families after the intervention of clinical psychological care was significantly lower than that of before intervention and the control group. 2) The correlation coefficients between PCL-C, SAS, SDS and PDRQ-15 of cancer patients and their relatives were 0.971, 0.952 and 0.939 respectively. The significant test P value was less than 0.05 and the difference was statistically significant. 3) The plasma levels of dopamine and norepinephrine in cancer patients under stress were significantly higher than those in cancer patients without stress (P Conclusion: After psychological Intervention of cancer patients and their families, post-traumatic stress disorder, anxiety, depression and doctor-patient relationship were all improved.
文摘目的:探讨家属参与的肺康复引导模式对肺癌单侧肺叶切除术患者的影响。方法:选取2021年5月—2022年7月泰安市第一人民医院收治的40例肺癌单侧肺叶切除术患者作为观察组,选取2022年8月—2023年10月本院收治的40例肺癌单侧肺叶切除术患者作为对照组。对照组给予常规干预,观察组在对照组基础上给予家属参与的肺康复引导模式。比较两组术前及术后7 d肺功能,相关指标,并发症,心理状态。结果:术后7 d,观察组第1秒用力呼气容积(FEV1)/用力肺活量(FVC)%、最大自主通气量(MVV)均显著高于对照组,差异有统计学意义(P<0.001)。观察组胸腔闭式引流时间、住院时间均短于对照组,术后7 d 6分钟步行距离长于对照组,差异有统计学意义(P<0.001)。观察组术后并发症发生率低于对照组,差异有统计学意义(P<0.05)。观察组干预2周后抑郁自评量表(SDS)评分、焦虑自评量表(SAS)评分均低于对照组,差异有统计学意义(P<0.001)。结论:家属参与的肺康复引导模式能有效改善肺癌单侧肺叶切除术患者的肺功能,减少术后并发症,减轻负面情绪。
