基于同质医疗服务理念的干预对高级别脑胶质瘤患者心理状态及生活质量的影响  

Influence of intervention based on homogeneous medical service concept on the psychological state and quality of life of patients with high-grade glioma

作　　者：位亚娟 宋丹 张新勋 王水雨 WEI Yajuan;SONG Dan;ZHANG Xinxun;WANG Shuiyu(Ward of Neurological Intensive Care Unit,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,He’nan,China;Department of Rehabilitation,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,He’nan,China)

机构地区：[1]郑州大学第一附属医院神经重症监护病区,郑州4500520 [2]郑州大学第一附属医院康复科,郑州4500520

出　　处：《癌症进展》2025年第9期1026-1029,共4页Oncology Progress

摘　　要：目的探讨基于同质医疗服务理念的干预对高级别脑胶质瘤患者心理状态及生活质量的影响。方法依据干预方法的不同将78例脑胶质瘤患者分为对照组(n=35,常规干预)和观察组(n=43,基于同质医疗服务理念的干预)。比较两组患者的心理状态[患者健康问卷抑郁量表(PHQ-9)、广泛性焦虑障碍量表(GAD-7)]和生活质量[欧洲癌症研究与治疗组织生命质量测定量表(EORTC QLQ-C30)、癌症患者生命质量测定量表(FACT-G)]。结果干预后,两组患者PHQ-9、GAD-7评分均低于本组干预前,且观察组患者PHQ-9、GAD-7评分均低于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者EORTC QLQ-C30各维度评分、FACT-G各维度评分和总分均高于本组干预前,观察组患者EORTC QLQ-C30各维度评分、FACT-G各维度评分和总分均高于对照组,差异均有统计学意义(P﹤0.05)。结论基于同质医疗服务理念的干预应用于高级别脑胶质瘤患者中,能够改善脑胶质瘤患者的心理状态,提高患者的生活质量。Objective To explore the influence of intervention based on homogeneous medical service concept on the psychological state and quality of life of patients with high-grade glioma.Method A total of 78 high-grade glioma patients were divided into control group(n=35,conventional intervention)and observation group(n=43,intervention based on homogeneous medical service concept)according to different intervention methods.The psychological status[patient health questionnaire-9(PHQ-9),generalized anxiety disorder-7(GAD-7)],quality of life[European Organization for Research and Treatment of Cancer quality of life questionnaire core 30(EORTC QLQ-C30),functional assessment of cancer therapy-general(FACT-G)]were compared between the two groups.Result After intervention,the PHQ-9 and GAD-7 scores of both groups were lower than those before intervention,and the PHQ-9 and GAD-7 scores of the observation group were lower than those of the control group,the differences were statistically significant(P<0.05).After intervention,the scores of dimensions of EORTC QLQ-C30,the scores of dimensions of FACT-G and total scores of both groups were higher than those before intervention,the scores of dimensions of EORTC QLQ-C30,the scores of dimensions of FACT-G and total score of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusion Intervention based on homogeneous medical service concept applied to highgrade glioma patients can improve psychological state and quality of life.

关 键 词：高级别脑胶质瘤 基于同质医疗服务理念的干预 心理状态 生活质量 

分 类 号：R739.41[医药卫生—肿瘤]