中医情志护理联合奥马哈系统辅助加速康复护理对肾癌根治术患者的影响研究  

Effect of TCM emotional nursing combined with enhanced recovery nursing based on Omaha system in patients undergoing radical nephrectomy for renal cancer

作　　者：任梦梦 王露 魏寅生 Ren Mengmeng;Wang Lu;Wei Yinsheng(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》2025年第1期148-152,共5页Journal of Clinical Psychosomatic Diseases

摘　　要：目的探讨腹腔镜肾癌根治术患者应用中医情志护理联合奥马哈系统辅助加速康复护理干预的临床效果。方法将82例肾癌患者随机分为观察组和对照组,各41例。对照组患者给予奥马哈系统辅助加速康复护理,观察组患者在对照组基础上给予中医情志护理干预。比较两组患者的生活质量[癌症患者生命质量测定量表(FACT-G)评分]、心理状态[医院焦虑抑郁量表(HADS)评分]、舒适度[舒适状况量表(GCQ)评分]、睡眠质量[匹兹堡睡眠质量指数(PSQI)评分]。结果干预后,观察组患者FACT-G各维度评分及总分高于对照组,PSQI评分低于对照组(P<0.01)。两组患者HADS中焦虑、抑郁评分较干预前降低,且观察组低于对照组(P<0.01);两组患者GCQ各维度评分较干预前升高,且观察组高于对照组(P<0.01)。结论中医情志护理联合奥马哈系统辅助加速康复护理应用于腹腔镜肾癌根治术患者效果显著,值得临床推广。Objective To explore the clinical effect of traditional Chinese medicine(TCM)emotional nursing combined with Omaha system(OS)-based enhanced recovery after surgery(ERAS)nursing in patients undergoing radical nephrectomy for renal cancer.Methods Eighty-two renal cancer patients were randomly divided into observation and control group,with 41 ones in each.Controls received OS-based ERAS nursing and observation group did TCM emotional nursing intervention on the basis of controls.Such indexes were compared between two groups as qualities of life(The Functional Assessment of Cancer Therapy-General[FACT-G]score),mental states(Hospital Anxiety and Depression Scale[HADS score]),postoperative comfort levels(General Comfort Questionnaire[GCQ]score),and sleep qualities(Pittsburgh Sleep Quality Index[PSQI]score).Results After intervention,each dimension and total score of the FACT-G were higher and the PSQI was lower in observation than control group(P<0.01).Anxiety and depression scores of the HADS lowered in both groups compared with pre-intervention and those were lower in observation than control group(P<0.01),each dimension scores of the GCQ elevated in both groups and those were higher observation than control group(P<0.01).Conclusion The TCM emotional nursing combined with OS-based ERAS nursing has a remarkable effect in patients undergoing radical nephrectomy for renal cancer,which is worthy of clinical promotion.

关 键 词：肾癌根治术 中医情志护理 奥马哈系统 加速康复护理 生活质量 负性情绪 睡眠质量 

分 类 号：R737.11[医药卫生—肿瘤] R473.73[医药卫生—临床医学]