立体化心理干预联合体位干预对肺癌胸腔镜手术后漏气患者心理健康及康复的影响  

Influence of three-dimensional psychological intervention combined with body position intervention on psychological healthand rehabilitation in patients with air leakage after video-assisted thoracoscopic surgery for pulmonary cancer

作　　者：于川川[1] 陈静儒 陈瑞云[1] 杨慧[2] YU Chuanchuan;CHEN Jingru;CHEN Ruiyun;YANG Hui(Department of Thoracic Surgery,Henan Provincial People'sHospital,Zhengzhou 450003,China;Nursing Department,Henan Provincial People's Hospital)

机构地区：[1]河南省人民医院胸外科(郑州),450003 [2]河南省人民医院护理部

出　　处：《中国健康心理学杂志》2025年第1期86-91,共6页China Journal of Health Psychology

基　　金：2024年度河南省医学科技攻关计划项目(编号:SBGJ202402014)。

摘　　要：目的:探讨立体化心理干预联合体位干预对肺癌胸腔镜手术(VATS)后持续性肺漏气(PAL)患者心理健康及康复的影响。方法:选取2018年1月-2024年1月某院收治的肺癌VATS术后PAL患者82例,将2018年1月-2021年6月接受常规干预的38例患者纳入对照组,将2021年7月-2024年1月接受立体化心理干预联合体位干预的44例患者纳入研究组。比较两组负性情绪、心境状态、康复情况、生存质量。结果:研究组干预后SAS、SDS得分均低于对照组(t=-2.674,-2.396;P<0.05);研究组消极情绪得分(紧张、愤怒、疲劳、抑郁、慌乱)均低于对照组(t=-2.635,-3.410,-3.612,-4.341,-2.896;P<0.05);研究组积极情绪得分(精力、自尊感)均高于对照组(t=4.227,3.668;P<0.05);研究组留置胸管时间、术后住院时间短于对照组(t=-2.196,-3.514;P<0.05),研究组其他并发症发生率低于对照组(χ^(2)=4.273,P<0.05);研究组生理、心理、环境、社会维度评分均高于对照组(t=3.463,2.256,2.779,2.680;P<0.05)。结论:立体化心理干预联合体位干预有助于改善VATS术后PAL患者的负性情绪,提升心境状态,促进术后康复,提高生存质量。Objective:To explore the influence of three-dimensional psychological intervention combined with body position intervention on psychological health and rehabilitation in patients with persistent pulmonary air leakage(PAL)after video-assisted thoracoscopic surgery(VATS)for pulmonary cancer.Methods:Totally 82 patients with PAL after VATS for pulmonary cancer in the hospital were selectedfrom January 2018 to January 2024.Among the patients,38 cases who received routine intervention from January 2018 to June 2021 were included in the control group,and 44 cases who carried out three-dimensional psychological intervention combined with postural intervention from July 2021 to January 2024 were enrolled as the study group.The negative emotions,mood states,rehabilitation status and quality of life were compared between groups.Results:The scores of SAS and SDS in the study group after intervention were lower than those in the control group(t=-2.674,-2.396;P<0.05).The scores of negative emotions(tension,anger,fatigue,depression and panic)in the study group were lower than those in the control group(t=-2.635,-3.410,-3.612,-4.341,-2.896;P<0.05)while the scores of positive emotions(energy and self-esteem)were higher than those in the control group(t=4.227,3.668;P<0.05).Thechest tube indwelling time and postoperative hospitalization time were shorter in the study group than the control group(t=-2.196,-3.514;P<0.05).The incidence of other complications in the study group was lower than that in the control group(χ^(2)=4.273,P<0.05).The scores of dimensions of physiology,psychology,environment and society in the study group were higher than those in the control group(t=3.463,2.256,2.779,2.680;P<0.05).Conclusion:Three-dimensional psychological intervention combined with body position intervention is helpful to improve the negative emotions of PAL patients after VATS,enhance the mood states,promote the postoperative rehabilitation and improve the quality of life.

关 键 词：立体化心理干预 体位干预 胸腔镜 持续性肺漏气 心理健康 康复 

分 类 号：R395.5[哲学宗教—心理学] R749.92[医药卫生—医学心理学]