整体干预模式对膀胱癌患者围手术期心理应激反应的影响  

Effect of the general intervention model on the psychological stress response in the perioperative period of bladder cancer surgery

作　　者：刘军霞[1] 闫河峰[1] 梁晓萌 LIU Junxia;YAN Hefeng;LIANG Xiaomeng(Department of Urology,Jiaozuo Second People’s Hospital,Jiaozuo 454000,He’nan,China)

机构地区：[1]焦作市第二人民医院泌尿外科,河南焦作4540000

出　　处：《癌症进展》2022年第1期100-103,共4页Oncology Progress

摘　　要：目的探讨整体干预模式对膀胱癌围手术期心理应激反应的影响。方法将120例膀胱癌手术患者按干预方式不同分为观察组60例和对照组60例,观察组给予整体干预模式,对照组给予常规围手术期干预模式。比较两组患者干预效果,包括术前即刻血压、术前即刻心率、呼吸频率、是否发抖。比较两组治疗前后焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、生活质量评分。结果观察组患者术前即刻舒张压、术前即刻心率、呼吸频率及发抖发生率均明显低于对照组,差异均有统计学意义(P﹤0.01)。术前,两组患者SAS、SDS评分比较,差异均无统计学意义(P﹥0.05);术后,两组患者SAS、SDS评分均降低,且观察组均低于对照组,差异均有统计学意义(P﹤0.05)。术前,两组患者生活质量各维度评分比较,差异均无统计学意义(P﹥0.05);术后,两组患者生活质量各维度评分均升高,且观察组均高于对照组,差异均有统计学意义(P﹤0.05)。结论整体干预模式可明显减轻膀胱癌患者围手术期心理应激反应,维持术前血压、心率、呼吸频率在正常范围内,减轻患者因恐惧、焦虑等引发的发抖情况,提高生活质量,改善手术给患者带来的心理影响。Objective To investigate the effect of the general intervention model on the psychological stress response in the perioperative period of bladder cancer surgery.Method A total of 120 patients with bladder cancer were divided into observation group of 60 cases and control group of 60 cases according to the different intervention methods.The observation group was given the general intervention mode,and the control group was given the routine perioperative intervention mode.The intervention results,including the immediate preoperative blood pressure,the immediate preoperative heart rate,the respiratory rate,and the incidence of tremor of the two groups were compared.The scores of the self-rating anxiety scale(SAS),self-rating depression scale(SDS),and quality of life were compared between the two groups before and after the treatment.Result The immediate preoperative diastolic blood pressure and the immediate preoperative heart rate before the surgery,the respiratory rate,and the incidence of tremor in the observation group were significantly lower than those in the control group,and the differences were statistically significant(P<0.01).Before the operation,there was no significant difference in SAS and SDS scores between the two groups(P>0.05);after the operation,the SAS and SDS scores of the two groups were decreased,and the SAS and SDS scores of the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Before the operation,there was no significant difference in the scores of each dimension of quality of life between the two groups(P>0.05).After the operation,the scores of quality of life of the two groups was increased,and the scores of quality of life of the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion The general intervention mode could remarkably reduce the psychological stress response of bladder cancer patients during the perioperative period,maintain their fun

关 键 词：整体干预 膀胱癌 围手术期 心理应激反应 影响 

分 类 号：R737.14[医药卫生—肿瘤]