纽曼系统干预模式在恶性脑胶质瘤手术患者中的应用效果  

Application effect of Newman system intervention model in patients with malignant glioma undergoing surgery

作　　者：孙国梅 张艳[1] 韩丹 张益 SUN Guomei;ZHANG Yan;HAN Dan;ZHANG Yi(Department of Neurosurgery,Nanyang Central Hospital,Nanyang 473000,He’nan,China)

机构地区：[1]南阳市中心医院神经外科,河南南阳4730000

出　　处：《癌症进展》2023年第9期1016-1019,共4页Oncology Progress

摘　　要：目的探讨纽曼系统干预模式在恶性脑胶质瘤手术患者中的应用效果。方法根据干预模式的不同将91例恶性脑胶质瘤手术患者分为对照组(n=45)和观察组(n=46),对照组患者围手术期予以常规干预,观察组患者在对照组的基础上予以纽曼系统干预。比较两组患者的心理状态[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、疼痛程度[视觉模拟评分法(VAS)]、心率、手术相关指标及生活质量[欧洲癌症研究与治疗组织生命质量测定量表(EORTC QLQ-C30)]。结果干预后,两组患者SAS、SDS评分均低于本组干预前,观察组患者SAS、SDS评分均低于对照组,差异均有统计学意义(P<0.05)。术后1、3、5天,观察组患者的VAS评分均低于对照组,差异均有统计学意义(P<0.05)。术前1天、气管插管时、术后1天,两组患者的心率均高于本组住院后1天,观察组患者的心率均低于对照组,差异均有统计学意义(P<0.05)。观察组患者首次下床活动时间和住院时间均明显短于对照组,差异均有统计学意义(P<0.01)。干预后,两组患者社会功能、躯体功能、情绪功能、角色功能、认知功能评分均高于本组干预前,观察组患者社会功能、躯体功能、情绪功能、角色功能、认知功能评分均高于对照组,差异均有统计学意义(P<0.05)。结论纽曼系统干预模式能够有效缓解恶性脑胶质瘤手术患者的焦虑抑郁情绪,减轻患者的疼痛程度和应激反应,促进患者术后恢复,提高患者生活质量。Objective To investigate the application effect of Newman system intervention model in patients with malignant glioma undergoing surgery.Method A total of 91 malignant glioma patients undergoing surgery were divided into control group(n=45)and observation group(n=46)according to different intervention models.Patients in the control group received routine intervention during the perioperative period,while patients in the observation group received Newman system intervention based on the control group.The psychological state[self-rating anxiety scale(SAS),self-rating depression scale(SDS)],pain level[visual analogue scale(VAS)],heart rate,surgery-related indicators,and quality of life[European Organization for Research and Treatment of Cancer quality of life questionnaire core 30(EORTC QLQ-C30)]were compared between the two groups.Result After the intervention,the SAS and SDS scores of the two groups were lower than those before the intervention,and the SAS and SDS scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).At 1,3,and 5 days after the operation,the VAS scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).One day before the operation,at the time of tracheal intubation,and one day after the operation,the heart rate of patients in the two groups were higher than those at one day after hospitalization,and the heart rate in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The time to get out of bed for the first time and hospital stay in the observation group were significantly shorter than those in the control group,and the differences were statistically significant(P<0.01).After the intervention,the social function,physical function,emotional function,role function,and cognitive function scores of the two groups were higher than those before the intervention,and the above sco

关 键 词：纽曼系统干预模式 恶性脑胶质瘤 围手术期 心理状态 生活质量 

分 类 号：R739.41[医药卫生—肿瘤]