基于ABC-X模型干预对食管癌术后患者负面情绪及炎症标志物的影响  

Impact of ABC-X Model Intervention on Negative Emotions and Inflammatory Indicators in Postoperative Patients with Esophageal Cancer

作　　者：王方方[1] 孔秋云 徐彩云 应鸽[1] WANG Fangfang;KONG Qiuyun;XU Caiyun;YING Ge(The Second Affiliated Hospital of Luohe Medical College,Luohe,China,462000)

机构地区：[1]漯河医学高等专科学校第二附属医院,河南漯河462000

出　　处：《食管疾病》2023年第4期301-305,共5页Journal of Esophageal Diseases

摘　　要：目的探讨ABC-X模型干预对食管癌(esophageal cancer,EC)患者术后并发症及炎症指标的影响。方法选取漯河医学高等专科学校第二附属医院2021年1月至2023年12月收治的92例EC术后患者,随机分为对照组和观察组各46例。对照组实施常规护理干预,观察组在对照组的基础上实施ABC-X模型护理干预。于护理干预结束后,比较各组EC术后患者焦虑和抑郁情绪、炎症标志物、住院满意度及并发症发生率。结果干预前,观察组和对照组在SAS评分(t=1.772,P=0.727)、SDS评分(t=1.637,P=0.557)、NLR水平(t=2.320,P=0.212)、MLR水平(t=6.212,P=0.338)和PLR水平(t=5.621,P=0.151)上无统计学差异。干预后,对照组的SAS评分(分别为t=5.231,P=0.000;t=3.549,P=0.000)、SDS评分(分别为t=12.732,P=0.000;t=9.159,P=0.000)、NLR水平(分别为t=0.596,P=0.000;t=2.764,P=0.000)、MLR水平(分别为t=2.574,P=0.000;t=1.710,P=0.000)和PLR水平(分别为t=2.586,P=0.000;t=1.561,P=0.000)水平明显下降。观察组的SAS评分(t=2.412,P=0.000)、SDS评分(t=2.356,P=0.000)、NLR水平(t=5.221,P=0.000)、MLR水平(t=5.981,P=0.000)和PLR水平(t=0.999,P=0.000)下降水平较对照组更明显。此外,观察组EC术后患者住院满意度高于对照组(Z=-1.988,P=0.047),且并发症发生率低于对照组(χ2=9.797,P=0.002)。结论基于ABC-X模型的护理干预可显著改善EC患者术后负面情绪,降低并发症发生率,改善机体炎症水平。Objective To explore the effect of ABC-X model intervention on postoperative complications and inflammatory indicators in patients with esophageal cancer(EC).Methods 92 postoperative EC patients admitted to our hospital from January 2021 to December 2023 were randomly divided into a control group and an observation group,with 46 cases in each.The control group received routine nursing intervention,while the observation group received ABC-X model nursing intervention on the basis of the control group.After the nursing intervention,the anxiety and depression,inflammatory markers,hospitalization satisfaction,and incidence of complications in 2 groups were compared.Results Before intervention,there was no statistically significant difference between the observation group and the control group in SAS score(t=1.772,P=0.727),SDS score(t=1.637,P=0.557),NLR level(t=2.320,P=0.212),MLR level(t=6.212,P=0.338),and PLR level(t=5.621,P=0.151).After intervention,the SAS score(t=5.231,P=0.000;t=3.549,P=0.000),SDS scores(t=12.732,P=0.000;t=9.159,P=0.000),NLR levels(t=0.596,P=0.000;t=2.764,P=0.000),and MLR levels(t=2.574,P=0.000;t=1.710,P=0.000),PLR(t=2.586,P=0.000;t=1.561,P=0.000)in the control group were significantly decreased;the SAS score(t=2.412,P=0.000),SDS score(t=2.356,P=0.000),NLR level(t=5.221,P=0.000),MLR level(t=5.981,P=0.000),and PLR level(t=0.999,P=0.000)of the observation group showed a more significant decrease compared to the control group.In addition,the satisfaction rate of postoperative EC patients in the observation group was higher than that in the control group(χ2=8.603,P=0.003),and the incidence of complications is lower than that of the control group(χ2=9.797,P=0.002).Conclusion Nursing interventions based on the ABC-X model can significantly improve negative emotions after EC surgery,reduce the incidence of complications,and improve the level of inflammation in the body.

关 键 词：食管癌 ABC-X模型 负面情绪 炎症指标 

分 类 号：R571[医药卫生—消化系统]