术前IDEAS模式访视在肺癌胸腔镜辅助小切口手术患者中的应用效果  

Application effect of preoperative IDEAS mode visits in lung cancer patients undergoing video-assisted mini-thoracotomy surgery

作　　者：王琼[1] 刘慧[1] 王莎莎[1] 曹文秀[1] WANG Qiong;LIU Hui;WANG Shasha;CAO Wenxiu(Department of Surgery(2),the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,He’nan,China)

机构地区：[1]郑州大学第一附属医院手术部(2),郑州4500000

出　　处：《癌症进展》2024年第10期1155-1159,共5页Oncology Progress

摘　　要：目的 探讨术前IDEAS模式访视在肺癌胸腔镜辅助小切口手术(VAMT)患者中的应用效果。方法根据干预方式的不同将80例肺癌VAMT患者分为对照组(n=34)和IDEAS组(n=46),对照组患者给予常规术前访视,IDEAS组患者给予术前IDEAS模式访视。比较两组患者的生理指标[脉率(PR)、舒张压(DBP)、收缩压(SBP)]、疼痛程度[视觉模拟评分法(VAS)]、心理状态[汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)]、希望水平[Herth希望量表(HHI)]、满意度、住院时间及并发症发生情况。结果 干预后,两组患者PR、DBP、SBP均高于本组干预前,IDEAS组患者PR、DBP、SBP均低于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者VAS、HAMD、HAMA评分均低于本组干预前,HHI量表各维度评分均高于本组干预前,IDEAS组患者VAS、HAMD、HAMA评分均低于对照组,HHI量表各维度评分均高于对照组,差异均有统计学意义(P﹤0.05)。IDEAS组患者的总满意率为100%,明显高于对照组患者的82.35%,住院时间明显短于对照组,差异均有统计学意义(P﹤0.01)。IDEAS组患者的并发症总发生率为4.35%,与对照组患者的11.76%比较,差异无统计学意义(P﹥0.05)。结论 术前IDEAS模式访视能有效改善肺癌VAMT患者的生理指标、心理状态和疼痛程度,提高希望水平,患者的满意度高。Objective To explore the application effect of preoperative IDEAS mode visits in lung cancer patients un-dergoing video-assisted mini-thoracotomy(VAMT)surgery.Method According to different intervention methods,80 lung cancer patients undergoing VAMT were divided into control group(n=34)and IDEAS group(n=46).The control group received routine preoperative visits,while the IDEAS group received preoperative IDEAS mode visits.The physio-logical indexes[pulse rate(PR),diastolic blood pressure(DBP),systolic blood pressure(SBP)],pain degree[visual ana-logue scale(VAS)],psychological status[Hamilton depression scale(HAMD),Hamilton anxiety scale(HAMA)],hope level[Herth hope index(HHI)],satisfaction,length of hospital stay,and incidence of complications were compared be-tween the two groups.Result After intervention,the PR,DBP,and SBP of both groups were higher than those before in-tervention,the PR,DBP,and SBP in the IDEAS group were lower than those in the control group,and the differences were statistically significant(P<0.05).After intervention,the VAS,HAMD,and HAMA scores of both groups were lower than those before intervention,and the scores of all dimensions of HHI scale were higher than those before intervention,the VAS,HAMD,and HAMA scores of the IDEAS group were lower than those of the control group,and the scores of all dimensions of HHI scale were higher than those of the control group,and the differences were statistically significant(P<0.05).The overall satisfaction rate in the IDEAS group was 100%,which was significantly higher than 82.35%in the control group,and the hospital stay was significantly shorter than that in the control group,and the differences were statis-tically significant(P<0.01).The total incidence of complications in the IDEAS group was 4.35%,which was not statisti-cally significant compared to 11.76%in the control group(P>0.05).Conclusion Preoperative IDEAS mode visits can ef-fectively improve the physiological indicators,psychological status,and pain degree of patients undergoing VAMT for

关 键 词：术前IDEAS模式访视 肺癌 胸腔镜辅助小切口手术 心理状态 希望水平 

分 类 号：R734.2[医药卫生—肿瘤]