行为及心理干预对进展期胃癌行腹腔镜D2根治术患者情绪及生活质量的影响

目的 探讨行为及心理干预对进展期胃癌行腹腔镜D2根治术患者的情绪及生活质量的影响.方法 2014年1月至2015年12月,将北京大学肿瘤医院胃肠肿瘤中心收治的186例进展期胃癌行腹腔镜D2根治术患者按入院顺序以简单随机抽样方法分为对照组和干预组各93例,对照组给予常规护理,干预组在常规护理基础上给予行为及心理干预,比较两组在情绪和生活质量上的差异.结果 干预后干预组患者焦虑、抑郁评分[(42.19±7.75)分、(43.61±8.28)]分均低于对照组[(50.62±7.61)分、(54.41±8.3)分),差异有统计学意义(P<0.05);生理功能[(55.96±6.47)分]、生理职能[(50.19±7.72)分]、躯体疼痛[(47.31±7.95)分]、一般健康状况[(49.38±7.28)分]、精力[(56.99±7.31)分]、社会功能[(51.53±7.34)分]、情感职能[(46.97±7.48)分]、精神健康[(52.60±7.39)分]评分均高于对照组[(47.78±7.72)分、(45.08±7.56)分、(40.47±5.95)分、(45.42±7.36)分、(51.40±6.49)分、(45.55±7.08)分、(42.36±6.38)分、(45.33±7.61)分],差异有统计学意义(P<0.05).结论 行为及心理干预可明显改善胃癌患者的负性情绪,提高术后患者的生活质量.

Effects of behavioral and psychological intervention on emotion and quality of life in patients with advanced gastric cancer undergoing laparoscopic D2 radical operation

Objective To explore the effect of behavior and psychological intervention on the emotion and quality of life of patients with advanced gastric cancer undergoing laparoscopic D2 radical operation. Methods From January 2014 to December 2015, 186 patients of advanced gastric cancer undergoing laparoscopic D2 radical resection who were treated in the Center of Gastrointestinal Tumor were enrolled. The patients were divided into control group and intervention group (93 cases in each group) by simple random sampling method according to the order of admission. The control group was given routine nursing, and the intervention group was given psychological intervention and behav-ior in addition to routine care. The two groups were compared on the emotion and quality of life. Results Anxiety and depression scores of the intervention group were (42.19 ± 7.75), (43.61 ± 8.28), lower than (50.62 ± 7.61), (54.41 ± 8.3) of the control group, and the differences were statistically significant (P<0.05). Physiological function (55.96±6.47), physi-ological role (50.19 ± 7.72), body pain (47.31 ± 7.95), general health (49.38 ± 7.28), energy (56.99 ± 7.31), social function (51.53 ± 7.34), emotional function (46.97 ± 7.48), mental health (52.60 ± 7.39) were higher than those in the control group of (47.78±7.72), (45.08 ±7.56), (40.47±5.95), (45.42±7.36), (51.40±6.49), (45.55±7.08), (42.36±6.38), (45.33±7.61), and the differences were statistically significant (P<0.05). Conclusion Behavioral and psychological intervention can signifi-cantly improve the negative emotions of patients with gastric cancer, improve the quality of life of patients after operation.