术中体位安置及监护联合心理危机干预对乳腺癌手术患者心理危机水平及术后康复的影响  

Effects of intraoperative position placement and monitoring combined with psychological crisis intervention on the level of psychological crisis and postoperative recovery of breast cancer patients undergoing surgery

作　　者：项霙 陈雪 高晓庆 胡晋 XIANG Ying;CHEN Xue;GAO Xiaoqing;HU Jin(Department Daytime 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日间手术部(2),郑州4500000

出　　处：《癌症进展》2024年第22期2537-2540,共4页Oncology Progress

摘　　要：目的 探讨术中体位安置及监护联合心理危机干预对乳腺癌(BC)手术患者心理危机水平及术后康复的影响。方法 将100例BC患者按干预方法的不同分为观察组(49例,接受术中体位安置及监护联合心理危机干预)和对照组(51例,接受常规干预)。比较两组患者心理危机[危机干预分类评估量表(TAF)]、术后康复情况、并发症发生情况及满意度。结果 干预后,两组患者TAF各维度评分均降低,且观察组患者TAF各维度评分均低于对照组,差异均有统计学意义(P﹤0.05)。观察组患者术后苏醒时间、拔管时间及住院时间均明显短于对照组,差异均有统计学意义(P﹤0.01)。观察组患者并发症总发生率低于对照组,满意度高于对照组,差异均有统计学意义(P﹤0.05)。结论 术中体位安置及监护联合心理危机干预可降低BC手术患者心理危机水平,促进术后恢复,减少并发症发生,提高满意度。Objective To investigate the effects of intraoperative position placement and monitoring combined with psychological crisis intervention on the level of psychological crisis and postoperative recovery of breast cancer(BC)pa-tients undergoing surgery.Method A total of 100 cases of BC patients were divided into observation group(49 cases,re-ceiving intraoperative position placement and monitoring combined with psychological crisis intervention)and control group(51 cases,receiving routine intervention)according to different intervention methods.The psychological crisis[the triage assessment form(TAF)],postoperative rehabilitation,complications and satisfaction of the two groups were com-pared.Result After intervention,the scores of all dimensions of TAF of both groups were decreased,and the scores of all dimensions of TAF of the observation group were lower than those of the control group,the differences were statisti-cally significant(P<0.05).The postoperative recovery time,extubation time and hospital stay in the observation group were significantly shorter than those in the control group,the differences were statistically significant(P<0.01).The total incidence of complications of observation group was lower than that of control group,and the satisfaction rate was higher than that of control group,the differences were statistically significant(P<0.05).Conclusion Intraoperative position placement and monitoring combined with psychological crisis intervention can reduce the level of psychological crisis in BC patients undergoing surgery,promote postoperative recovery,reduce complications and improve satisfaction.

关 键 词：乳腺癌 心理危机 术后康复 并发症 满意度 

分 类 号：R737.9[医药卫生—肿瘤]