手术与非手术治疗对脊柱转移性肿瘤患者不良情绪、疼痛控制及生活质量的影响  

Effects of Surgical and Non-surgical Treatments on Adverse Emotions,Pain Control and Quality of Life in Patients with Spinal Metastatic Tumor

作　　者：武官容 李得彬[1] 冷娜 曹利云 张继凤 Wu Guanrong;Li Debin;Leng Na;Cao Liyun;Zhang Jifeng(Department of Spinal Surgery,the Second People's Hospital of Panzhihua,Panzhihua 617067,Sichuan,China)

机构地区：[1]攀枝花市第二人民医院脊柱外科,四川攀枝花617067

出　　处：《肿瘤预防与治疗》2023年第4期321-327,共7页Journal of Cancer Control And Treatment

摘　　要：目的:探讨手术与非手术治疗对脊柱转移性肿瘤患者不良情绪、疼痛控制效果及生活质量的影响,为提高脊柱转移性肿瘤患者生活质量及心理健康提供相关依据。方法:选择2018年1月至2021年6月我院脊柱外科收治的108例脊柱转移性肿瘤患者作为研究对象,按照是否手术分为手术组和非手术组,在术前(治疗前)、术后(治疗后)1、3、6个月作为评估时间点,采用Zung焦虑自评量表(Self-Rating Anxiety Scale,SAS)、Zung抑郁自评量表(Self-Rating Depression Scale,SDS)、疼痛数字评分量表(Numerical Rating Scale-10,NRS-10)和癌症治疗功能评价量表(Functional Assessment of Cancer Therapy-General,FACT-G)分别对手术与非手术患者的不良情绪、疼痛控制效果及生活质量进行测评。结果:两组患者在手术(治疗)前的性别、年龄、原发肿瘤类型、焦虑(SAS)评分、抑郁(SDS)评分、疼痛(NRS-10)评分和生活质量(FACT-G)评分及各维度分之间差异均无统计学意义(P>0.05)。从术后(治疗后)3个月开始到术后6个月,两组患者焦虑、抑郁不良情绪均有所缓解,手术组患者焦虑、抑郁评分均低于非手术组(P<0.001);手术组患者的疼痛(NRS-10)评分在术后迅速降低,并持续控制在轻度疼痛范围以内,非手术组NRS-10评分也在治疗后得到缓解,两组存在差异(P<0.001);两组患者的生活质量(FACT-G)评分均随着时间的推移而增加,手术组增加幅度明显高于非手术组,差异有统计学意义(P<0.001)。结论:手术对改善脊柱转移性肿瘤患者的焦虑、抑郁不良情绪,缓解疼痛程度,及提高生活质量方面要优于非手术患者。Objective:To explore the effects of surgical and non-surgical treatments on adverse emotions,pain control and quality of life in patients with spinal metastatic tumor,so as to provide basis for improving the quality of life and mental health of patients with spinal metastatic tumor.Methods:108 patients with spinal metastatic tumor treated in the department of spinal surgery in our hospital from January 2018 to June 2021 were selected as the research objects,and assigned to the surgery group and the non-surgery group.Zung Self-Rating Anxiety Scale(SAS),Zung Self-Rating Depression Scale(SDS),Numerical Rating Scale-10(NRS-10)and Functional Assessment of Cancer Therapy-General(FACT-G)were used to evaluate the adverse emotions,pain control effect and quality of life in two groups before and 1,3 and 6 months after operation.Results:There were no significant differences between the two groups in gender,age,primary tumor type,anxiety score(SAS),depression score(SDS),pain score(NRS-10),quality of life score(FACT-G)and their sub-dimension scores before treatment(P>0.05).From 3 to 6 months after treatment,anxiety and depression in the two groups were relieved;the scores of anxiety and depression in the surgery group were lower than those in the non-surgery group(P<0.001).The pain score(NRS-10)in the surgery group decreased rapidly after surgery,and remained in a mild level;the NRS-10 score in the non-surgery group also decreased after treatment;and there was a statistically significant difference between the two groups(P<0.001).The quality of life scores(FACT-G)in the two groups increased as time flies;and the increase in the surgery group was significantly higher than that in the non-surgery group(P<0.001).Conclusion:Surgery is beneficial to patients with spinal metastatic tumor in relieving anxiety,depression and pain,and in improving quality of life.

关 键 词：脊柱转移性肿瘤 手术 不良情绪 疼痛 生活质量 

分 类 号：R738.1[医药卫生—肿瘤]