心理疏导模式对脑胶质瘤手术患者不良情绪和生活质量的影响  

Effects of psychological counseling mode on adverse mood and quality of life in patients undergoing gliomatosis cerebri surgery

作　　者：张艳华[1] 杨木林 杜伟[1] Zhang Yanhua;Yang Mulin;Du Wei(The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,Henan,China)

机构地区：[1]郑州大学第一附属医院,河南郑州450000

出　　处：《临床心身疾病杂志》2024年第5期87-91,共5页Journal of Clinical Psychosomatic Diseases

基　　金：河南省高等学校重点科研项目计划(编号19A320075)。

摘　　要：目的探讨多学科合作(MDT)联合心理疏导模式对脑胶质瘤(GC)手术患者不良情绪和生活质量的影响。方法将96例行手术治疗的GC患者按照随机数字表法分为对照组和研究组,各48例。对照组患者给予MDT干预,研究组患者给予心理疏导模式联合MDT干预,干预1个月。比较干预前后两组患者视觉模拟评分法(VAS)、焦虑自评量表(SAS)、抑郁自评量表(SDS)、自我护理能力量表(ESCA)、生活质量综合评定问卷-74(GQOLI-74)评分,并统计两组患者并发症发生率。结果干预后,两组患者VAS、SAS、SDS评分均较干预前降低,且研究组低于对照组(P<0.01)。干预后,两组患者ESCA及GQOLI-74各维度评分均较干预前升高,且研究组高于对照组(P<0.01)。研究组患者并发症发生率低于对照组(P<0.05)。结论心理疏导模式联合MDT应用于GC手术患者中,能减轻患者机体疼痛,改善患者不良情绪,提升其自护能力,减少院内感染、颅内出血等并发症的发生。Objective To explore the effect of multidisciplinary treatment(MDT)combined with psychological counseling mode(PCM)on adverse mood and quality of life in patients undergoing gliomatosis cerebri(GC)surgery.Methods Ninety-six GC patients undergoing surgical treatment were divided into control and research group according to random number table method,with 48 ones in each.Controls group received MDT intervention and research group did MDT+PCM for 1 month.Pre-and post-treatment scores on such scales were compared between two groups as Visual Analogue Scale(VAS),Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS),Exercise of Selfcare Agency Scale(ESCA)and Generic Quality of Life Inventory-74(GQOLI-74),the incidences of complications of both groups counted.Results After intervention VAS,SAS and SDS scores of both groups lowered compared with pre-intervention and those were lower in research than control group(P<0.01).After intervention ESCA and GQOLI-74 scores of both groups elevated compared with pre-intervention and were higher in research than control group(P<0.01).Complication incidence was lower in research than control group(P<0.05).Conclusion MDT+PCM can reduce body pain of patients undergoing GC surgery,improve unhealthy emotions,enhance self-care ability,and reduce the occurrence of adverse events of nosocomial infection and intracranial hemorrhage and so on.

关 键 词：脑胶质瘤 多学科合作 心理疏导模式 不良情绪 生活质量 

分 类 号：R739.41[医药卫生—肿瘤] R473.73[医药卫生—临床医学]