多学科诊疗护理对侧颅底肿瘤患者术后心理状态及生命质量的影响  

Effect of the multidisciplinary diagnosis and treatment nursing on postoperative psychological state and quality of life in patients with lateral skull base tumor

作　　者：赵莉 杨丽华 钟锋 曾庆兰 杜延玲 赵文睿 Zhao Li;Yang Lihua;Zhong Feng;Zeng Qinglan;Du Yanling;Zhao Wenrui(Department of Nursing,Shandong Second Provincial General Hospital,Jinan 250022,China)

机构地区：[1]山东省第二人民医院护理部,济南250022

出　　处：《中国实用护理杂志》2023年第9期649-655,共7页Chinese Journal of Practical Nursing

基　　金：山东省医药卫生科技发展计划(202014050908)。

摘　　要：目的探讨多学科诊疗护理在改善侧颅底肿瘤患者术后焦虑、抑郁情绪及生命质量方面的应用效果,为多学科诊疗护理团队构建提供具有建设性意见的模板。方法采用前瞻性队列研究设计,将2021年1月至2022年4月在山东省第二人民医院进行侧颅底肿瘤手术的100例患者设为研究对象,应用随机数字表法将其分为对照组和观察组,每组50例。对照组给予侧颅底肿瘤术后常规护理,并采取常规随访管理;观察组在对照组基础上给予多学科诊疗护理干预措施。干预时间3个月。采用焦虑自评量表(SAS)、抑郁自评量表(SDS)、简明健康状况调查问卷(SF-36)评价2组患者干预前后的心理状态和生命质量。结果2组患者干预前SAS、SDS、SF-36评分比较差异均无统计学意义(均P>0.05);观察组患者干预后SAS、SDS、SF-36评分分别为(44.58±5.61)、(41.66±8.48)、(75.66±13.65)分,对照组患者分别为(50.86±4.91)、(45.80±9.32)、(68.43±14.34)分,2组比较差异均有统计学意义(t=-5.95、-2.32、2.58,均P<0.05)。结论多学科诊疗护理干预能显著改善侧颅底肿瘤患者术后的焦虑、抑郁情绪,提升生命质量。Objective To explore the application effect of the multidisciplinary diagnosis and treatment nursing in improving postoperative anxiety and depression and quality of life in patients with lateral skull base tumor,so as to provide a constructive template for the multidisciplinary diagnosis and treatment nursing.Methods This was a prospective cohort study design.A total of 100 patients who underwent lateral skull base tumor surgery in Shandong Second Provincial General Hospital from January 2021 to April 2022 were selected as the research objects.The patients were divided into observation group and control group by random digits table method with 50 cases in each group.The control group was given routine nursing care after operation of lateral skull base tumor and routine follow-up management.The observation group received the multidisciplinary diagnosis and treatment nursing on the basis of the control group.The intervention time was 3 months.The psychological state and quality of life of the two groups before and after intervention were evaluated by Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS),Short Form Health Questionnaire(SF-36).Results There was no significant difference in SAS,SDS,and SF-36 scores before intervention between the two groups(P>0.05).The scores of SAS,SDS and SF-36 after the intervention were(44.58±5.61),(41.66±8.48),(75.66±13.65)points in the observation group,and(50.86±4.91),(45.80±9.32),(68.43±14.34)points in the control group,there were statistically significant differences between the two groups(t values were-5.95,-2.32,2.58,all P<0.05).Conclusions The multidisciplinary diagnosis and treatment nursing can significantly improve anxiety,depression and quality of life of patients with lateral skull base tumor after surgery.

关 键 词：焦虑症 抑郁症 生活质量 侧颅底肿瘤 多学科诊疗 

分 类 号：R473.73[医药卫生—护理学]