心理干预对中青年肺癌术后患者心血管并发症的影响

目的探讨心理干预对中青年肺癌患者焦虑、抑郁的影响及对降低术后心血管并发症的作用。方法96例年龄≤55岁肺癌开胸手术患者，分为干预组和对照组，对照组只进行常规的护理指导和健康教育，干预组在手术前后结合多种方式进行心理干预。两组患者均于入院时、术前1 d、术后5 d进行焦虑自评量表（SAS）、抑郁自评量表（SDS）评定及血压监测，手术前后进行心电监测。结果两组患者入院时SAS、SDS评分及血压均无显著性差异；SAS、SDS评分及收缩压在术前1 d、术后5 d有显著性差异，术后心血管并发症发生率有显著性差异（P＜0.05）。结论对中青年肺癌开胸手术患者行个性化心理干预能减轻患者焦虑、抑郁心理，维持血压稳定，降低术后心血管并发症发生率。

Effects of Psychological Intervention on Cardiovascular Complications in Adult Lung Cancer Patients after Operation

ObjectiveTo observe the effects of psychological intervention on anxiety, depression, and postoperative cardiovascular complications in adult patients with lung cancer. Methods96 patients (aged ≤55 years) with lung cancer and undergoing thoracic operation were divided into intervention and control groups. The control group was only given routine care advice and health education, while the intervention groups was combined with various psychological intervention before and after operation. All the patients were assessed with self-rating of anxiety and depression scale (SAS, SDS) and the blood pressure were measured at admission, 1 d before operation, 5 d after operation, and the heart were monitored pre- and post-operation. ResultsThe SAS, SDS score, and blood pressure were not statistically significant between two groups at admission, but significant 1 d before operation and 5 d after operation. The incidence of cardiovascular complications was significantly different after operation (P<0.05). ConclusionThe individual psychological intervention can reduce the anxiety and depression, stabilize blood pressure, and decrease the incidence of cardiovascular complications in adult lung cancer patients undergoing thoracic operation.