应激系统干预措施对射波刀治疗颅内肿瘤患者的影响研究  

Effect of stress reduction intervention on patients undergoing Cyberknife treatment for intracranial tumors

作　　者：陈娟 高灵花 胡丹红 CHEN Juan;GAO Ling-hua;HU Dan-hong(Department of Neurosurgery,Huashan Hospital Affiliated to Fudan University,Shanghai 201206,China)

机构地区：[1]复旦大学附属华山医院神经外科,上海201206

出　　处：《中国肿瘤临床与康复》2022年第5期554-557,共4页Chinese Journal of Clinical Oncology and Rehabilitation

摘　　要：目的探讨应激系统干预措施对射波刀治疗颅内肿瘤患者的影响。方法选取2017年3月至2019年10月间复旦大学附属华山医院收治的行射波刀治疗的124例颅内肿瘤患者,采用随机数字表法分为研究组和常规组,每组62例。常规组患者采用常规护理干预,研究组患者在常规组基础上采用应激系统干预,比较两组患者干预前后的心理状况、应激反应指标和希望水平。结果干预后,研究组患者焦虑和抑郁评分均低于常规组,差异均有统计学意义(均P<0.05)。治疗中,研究组患者心率、收缩压和舒张压水平均优于常规组,差异均有统计学意义(均P<0.05)。干预后,研究组患者Herth希望量表各项目评分均高于常规组,差异均有统计学意义(均P<0.05)。结论行射波刀治疗的颅内肿瘤患者采用基于应激系统干预措施,可有效改善患者的心理状况,减轻生理应激反应,提高希望水平。Objective To study the effect of stress reduction intervention on patients undergoing Cyberknife for intracranial tumors.Methods A total of 124 patients undergoing Cyberknife treatment for intracranial tumors were selected at Huashan Hospital Affiliated to Fudan University from March 2017 to October 2019.They were divided into an experimental group and a control group using random number table method with 62 patients in each group.The experimental group received stress reduction intervention besides conventional nursing intervention and the control group received conventional nursing intervention.The psychological status,physiological stress response level and hope level were compared between the two groups before and after the intervention.Results After the intervention,the scores of anxiety and depression were lower in the experimental group than in the conventional group(all P<0.05).During the treatment,the heart rate,systolic blood pressure and diastolic blood pressure were better in the experimental group than in the control group(all P<0.05).The scores of Hearth hope index were higher in the experimental group than in the conventional group(all P<0.05).Conclusion Stress management interventions can effectively improve psychological status,reduce physiological stress response and improve hope level in patients undergoing Cyberknife for intracranial tumors.

关 键 词：颅内肿瘤 射波刀 基于应激系统干预措施 心理状况 生理应激反应 希望水平 

分 类 号：R739.41[医药卫生—肿瘤]