ACE Star循证模式干预对恶性脑胶质瘤手术患者负性情绪和疼痛程度的影响  

Effect of ACE Star evidence-based intervention on negative emotion and pain degree in patients undergoing malignant brain glioma surgery

作　　者：祝冰释 徐心平 李红艳 夏晓晨 ZHU Bingshi;XU Xinping;LI Hongyan;XIA Xiaochen(Department of Neurosurgery,He’nan Cancer Hospital(Zhengzhou University Affiliated Cancer Hospital),Zhengzhou 450000,He’nan,China)

机构地区：[1]河南省肿瘤医院(郑州大学附属肿瘤医院)神经外科,郑州450000

出　　处：《癌症进展》2024年第16期1798-1801,1813,共5页Oncology Progress

摘　　要：目的探讨ACE Star循证模式干预对恶性脑胶质瘤手术患者负性情绪和疼痛的影响。方法将92例恶性脑胶质瘤患者根据干预方式的不同分为对照组48例和循证组44例,对照组患者采取常规干预,循证组患者采取ACE Star循证模式干预。比较两组患者的负性情绪[汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评分]、疼痛程度[视觉模拟评分法(VAS)评分]、生活质量[癌症患者生命质量测定量表(FACT)评分]以及并发症发生情况。结果干预后,两组患者HAMA、HAMD量表评分均较干预前降低,且循证组患者HAMA、HAMD量表评分均低于对照组,差异均有统计学意义(P﹤0.05)。术后1、2、4天,循证组患者VAS评分均明显低于对照组,差异均有统计学意义(P﹤0.01)。干预后,两组患者功能状况、躯体状况、社会状况评分均较干预前升高,且循证组患者功能状况、躯体状况、社会状况评分均高于对照组,差异均有统计学意义(P﹤0.05)。循证组患者并发症总发生率低于对照组,差异有统计学意义(P﹤0.05)。结论ACE Star循证模式干预能显著改善恶性脑胶质瘤手术患者的负性情绪、疼痛程度,提高生活质量,减少术后并发症。Objective To investigate the effect of ACE Star evidence-based intervention on negative emotions and pain degree in patients undergoing malignant brain glioma surgery.Method A total of 92 patients with malignant brain glioma were divided into control group(48 cases)and evidence-based group(44 cases)according to different intervention methods.The control group received conventional intervention,and the evidence-based group received ACE Star evi-dencebased intervention.The negative emotions[Hamilton anxiety scale(HAMA),Hamilton depression scale(HAMD)scores],pain degree[visual analogue scale(VAS)score],quality of life[functional assessment of cancer therapy(FACT)score]and the incidence of complications were compared between the two groups.Result After intervention,the scores of HAMA and HAMD scales of both groups were lower than those before intervention,and the scores of HAMA and HAMD scales in evidence-based group were lower than those in control group,the differences were statistically signifi-cant(P<0.05).At 1,2 and 4 days after surgery,the VAS scores in evidence-based group were significantly lower than those in control group,the differences were statistically significant(P<0.01).After intervention,the scores of functional status,physical status and social status in both groups were higher than those before intervention,and the scores of func-tional status,physical status and social status in evidence-based group were higher than those in control group,the differ-ences were statistically significant(P<0.05).The total incidence of complications in evidence-based group was lower than that in control group,and the difference was statistically significant(P<0.05).Conclusion ACE Star evidence based intervention can significantly improve the negative emotions,pain degree,quality of life and postoperative compli-cations in patients undergoing malignant brain glioma surgery.

关 键 词：ACE Star循证模式干预 恶性脑胶质瘤 负性情绪 

分 类 号：R739.41[医药卫生—肿瘤]