阶段性康复联合治疗性沟通对胆囊癌患者术后心理状态及生活质量的影响

目的探讨并分析阶段性康复联合治疗性沟通系统(TCS)干预模式对胆囊癌患者术后心理状态及生活质量的影响。方法采用便利抽样法,选取2019年2月—2020年2月郑州大学第一附属医院肝胆胰外二科收治的170例胆囊癌患者为研究对象,按照随机数字表法将其分为观察组(n=86)和对照组(n=84)。对照组患者采用常规护理,观察组实施阶段性康复联合TCS干预模式。比较两组患者干预前后的简明健康量表、SAS和SDS得分,比较两组并发症发生情况。结果干预后两组患者的简明健康量表得分均高于干预前,且观察组得分高于对照组,差异均有统计学意义(P<0.01)。干预后两组患者的SAS和SDS得分均低于干预前,且观察组得分低于对照组,差异均有统计学意义(P<0.01)。观察组术后并发症总发生率为4.65%(4/86),低于对照组的23.81%(20/84),差异有统计学意义(P<0.01)。结论阶段性康复联合TCS干预能有效降低胆囊癌患者术后并发症发生率,改善患者心理状态,提高其生活质量。

Influence of staged rehabilitation combined with therapeutic communication intervention on postoperative mental state and quality of life of patients with gallbladder cancer

Objective To explore and analyze the effect of staged rehabilitation combined with therapeutic communication system(TCS)intervention mode on postoperative mental state and quality of life of patients with gallbladder cancer.Methods A total of 170 patients with gallbladder cancer admitted to the Second Department of Hepatobiliary and Pancreatic in the First Affiliated Hospital of Zhengzhou University from February 2019 to February 2020 were selected by convenience sampling method as the research objects,and were randomly divided into observation group(n=86)and control group(n=84).Patients in the control group were given routine nursing,while patients in the observation group were given staged rehabilitation combined with TCS intervention mode.The scores of the MOS 36-Item Short-Form Health Survey(SF-36),the Self-rating Anxiety Scale(SAS)and the Self-rating Depression Scale(SDS)before and after intervention,and the incidence of complications after intervention were compared.Results After intervention,the SF-36 scores of the two groups were higher than those before operation,and the score of the observation group was higher than those of the control group,the differences were statistically significant(P<0.01).After intervention,the SAS and SDS scores of the two groups were lower than those before the intervention,and the scores of observation group were lower than those of the control group,the differences were statistically significant(P<0.01).The total incidence of postoperative complications in the observation group was 4.65%(4/86),which was lower than 23.81%(20/84)in the control group.The difference was statistically significant(P<0.01).Conclusions Staged rehabilitation combined with TCS intervention can effectively reduce the incidence of postoperative complications in patients with gallbladder cancer,improve the mental state of patients,and improve their quality of life.