围手术期心理干预对骨肉瘤手术患者焦虑和抑郁情绪的影响  

Effect of perioperative psychological intervention on anxiety and depression of patients undergoing osteosarcoma surgery

作　　者：阿尔孜古丽·热合曼[1] 吴娜 李丽[1] Aerziguli·Reheman;WU Na;LI Li(Operation Room,the First Affiliated Hospital of Xinjiang Medical University,Urumqi 830054,Xinjiang,China)

机构地区：[1]新疆医科大学第一附属医院中心手术室,乌鲁木齐830054

出　　处：《癌症进展》2020年第19期2041-2045,共5页Oncology Progress

摘　　要：目的探究围手术期心理干预对骨肉瘤手术患者焦虑和抑郁情绪的影响。方法采用随机数字表法将160例骨肉瘤手术患者随机分为对照组和观察组,各80例。对照组予以围手术期常规护理,观察组在常规护理基础上予以围手术期心理干预。比较两组患者的焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、马斯洛需要层次、术后化疗依从性及术后肢体功能恢复情况。结果干预后,观察组中、重度焦虑患者和中、重度抑郁患者的比例均明显低于对照组(P﹤0.01)。截至随访结束,观察组社会需要、尊重需要、自我实现需要的患者比例均明显高于对照组,生理需要、安全需要的患者比例均明显低于对照组(P﹤0.01)。观察组高度依从、中度依从患者的比例均高于对照组,一般依从、非常不依从患者的比例均低于对照组(P﹤0.05)。随访12个月,观察组肢体功能恢复情况为优、良的患者比例均明显高于对照组,肢体功能恢复情况为中、差的患者比例均明显低于对照组(P﹤0.01)。结论围手术期心理干预能明显缓解骨肉瘤患者的焦虑、抑郁情绪,提高患者的术后化疗依从性,促进患者术后肢体功能的恢复,值得推广。Objective To investigate the effect of perioperative psychological intervention on anxiety and depression in patients with osteosarcoma undergoing surgery.Method A total of 160 patients with osteosarcoma surgery were randomly divided into control group and observation group with 80 cases in each groupusing random number table method.The control group received routine perioperative nursing,and the observation group received perioperative psychological intervention on the basis of routine nursing.The self-rating anxiety scale(SAS)scores,self-rating depression scale(SDS)scores,Maslow’s hierarchy of needs,postoperative chemotherapy compliance and postoperative limb function recovery were compared between the two groups.Result After the intervention,the proportions of moderate and severe anxiety patients and moderate and severe depression patients in the observation group were significantly lower than those in the control group(P<0.01).At the end of the follow-up period,the proportion of patients in the observation group with social needs,esteem and self-actualization were significantly higher than those in the control group,and the proportion of patients with physiological needs and safety needs were significantly lower than those in the control group(P<0.01).The proportions of patients with moderate and high compliance in the observation group were higher than those in the control group,the proportion of patients in the observation group who were generally compliant and poorly compliant were significantly lower than those in the control group(P<0.05).After 12 months of follow-up,the proportion of patients with excellent and good limb function recovery in the observation group was significantly higher than that of the control group,and the proportion of patients with medium and poor limb function recovery was significantly lower than that in the control group(P<0.01).Conclusion Perioperative psychological intervention,which is worthy of promotion,can significantly relieve perioperative anxiety and depression in pat

关 键 词：围手术期 心理干预 骨肉瘤 焦虑 抑郁 

分 类 号：R738.1[医药卫生—肿瘤]