个体化心理干预对膀胱癌根治术患者的效果观察及对其术后负性情绪的影响
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摘要
目的:探讨分析个体化心理干预对膀胱癌根治术患者的效果及对其术后负性情绪的影响。方法:选取2014年5月-2017年6月在我院进行膀胱癌根治术治疗的患者80例,依据数字表法随机分为对照组和研究组,对照组采用普通干预,研究组在此基础上采用个体化心理干预,统计对比两组患者的负性情绪、并发症发生以及生活质量的变化情况。结果:干预完成后均得到改善,研究组患者的抑郁和焦虑得分明显低于对照组(t=-15.23,-16.82;P<0.05);干预完成后,研究组患者感染、出血和尿失禁的发生率明显低于对照组,差异有统计学意义(χ~2=6.05,P=0.013);干预完成后对照组的躯体功能、心理功能、生理功能、社会功能评分均提高(t=-9.13,-12.72,-13.64,-13.34;P<0.001),研究组的躯体、心理、生理、社会功能评分也均提高(t=-14.97,-19.47,-20.28,-23.18;P<0.001)。干预后研究组患者的躯体、生理、心理和社会等功能评分明显高于对照组(t=-6.51,-10.09,-11.40,-12.87;P<0.001)。结论 :针对膀胱癌根治术患者应用个体化心理干预,可以有效改善患者的术后负性情绪,减少并发症的发生,提高生活质量,值得推广以及应用。
Objective:To investigate the effect of individualized psychological intervention on patients with radical mastectomy and its effect on negative emotions.Methods:Totally 80 patients who underwent radical mastectomy for bladder cancer in our hospital from May 2014 to June 2017 were randomly divided into control group and study group according to digital table method.The control group received general intervention.Based on the use of individualized psychological intervention,statistics were compared between the two groups of patients with negative emotions,complications and changes in quality of life.Results:After the intervention,the scores of depression and anxiety in the study group were significantly lower than those in the control group(t=-15.23,-16.82;P<0.05).After the intervention,the patients in the study group were infected with hemorrhage and urinary incontinence,the difference was statistically significant(χ~2=6.05,P<0.05).Body function,psychological function,physiological function and social function score of the control group increased after the intervention(t=-9.13,-12.72,-13.64,-13.34;P<0.001),Physical and social function scores also increased(t=-14.97,-19.47,-20.28,-23.18;P<0.001).The physical,psychological,psychological and social function scores of the study group were significantly higher than those of the control group after intervention(t=-6.51,-10.09,-11.40,-12.87;P<0.001).Conclusion:The application of individualized psychological intervention in patients with radical resection of bladder cancer can effectively improve the postoperative negative emotions,reduce the incidence of complications,improve the quality of life,worthy of promotion and application.
Objective:To investigate the effect of individualized psychological intervention on patients with radical mastectomy and its effect on negative emotions.Methods:Totally 80 patients who underwent radical mastectomy for bladder cancer in our hospital from May 2014 to June 2017 were randomly divided into control group and study group according to digital table method.The control group received general intervention.Based on the use of individualized psychological intervention,statistics were compared between the two groups of patients with negative emotions,complications and changes in quality of life.Results:After the intervention,the scores of depression and anxiety in the study group were significantly lower than those in the control group(t=-15.23,-16.82;P<0.05).After the intervention,the patients in the study group were infected with hemorrhage and urinary incontinence,the difference was statistically significant(χ~2=6.05,P<0.05).Body function,psychological function,physiological function and social function score of the control group increased after the intervention(t=-9.13,-12.72,-13.64,-13.34;P<0.001),Physical and social function scores also increased(t=-14.97,-19.47,-20.28,-23.18;P<0.001).The physical,psychological,psychological and social function scores of the study group were significantly higher than those of the control group after intervention(t=-6.51,-10.09,-11.40,-12.87;P<0.001).Conclusion:The application of individualized psychological intervention in patients with radical resection of bladder cancer can effectively improve the postoperative negative emotions,reduce the incidence of complications,improve the quality of life,worthy of promotion and application.
引文
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[13]秦雪芳,顾君芳,韩静红,等.循证护理应用于手术室患者对其负性情绪及并发症的影响[J].国际精神病学杂志,2015,42(4):89-92
[14]CNguyen D P,Awamlh B A H A,Faltas B M,et al.Radical cystectomy for bladder cancer in patients with and without a history of pelvic irradiation:Survival outcomes and diversion-related complications[J].Urology,2015,86(1):99-106
[15]唐宏,石秀珍.腹腔镜和开放手术膀胱癌根治术疗效比较的Meta分析[J].中国公共卫生,2015,7(A03):75-76
[16]段珂玲,王玉,吴欣慰.人文关怀模式护理对乳腺癌根治术后心理障碍患者治疗效果的影响[J].中国健康心理学杂志,2017,25(8):1162-1165
[17]吴文博,程龙,廖正明,等.腹腔镜膀胱癌根治术与开放性膀胱癌根治术临床疗效比较[J].临床外科杂志,2015,23(2):110-112
[18]hao C,Xiang J Q,Yan W C,et al.Bladder tumor heterogeneity:The impact on clinical treatment[J].Urologia Internationalis,2015,95(1):1-8
[19]宋哲,周治军,徐康,等.腹腔镜下根治性膀胱切除术治疗膀胱癌的疗效及对患者血清IL-6及IFN-γ水平的影响[J].现代生物医学进展,2017,17(21):4100-4103
[20]蔡曾琴,彭胤琼,黄秀娟,等.快速康复模式护理在腹腔镜膀胱癌根治性切除术围手术期的应用[J].西部医学,2016,28(8):櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏1168-1171
[21]崔世芳,于春红,李守宾,等.围手术期心理干预对前列腺癌去势治疗患者心理状况及生活质量的影响[J].中国健康心理学杂志,2014,22(1):32-34
[22]王玲玲,薛云珍,牛润桂.心理干预对癌症患者家属负性情绪的影响[J].中国健康心理学杂志,2013,21(9):1356-1357
[2]Schubert T,Danzig M R,Kotamarti S,et al.Mixed low-and high-grade non-muscle-invasive bladder cancer:A histological subtype with favorable outcome[J].World Journal of Urology,2015,33(6):847-852
[3]王瑾,陈莉.个性化心理干预对改善胃癌根治术患者负性情绪、提高依从性的影响[J].贵州医药,2017,41(7):783-784
[4]赵艳华.延续性护理对膀胱癌腹壁造口术后患者负性情绪和生活质量的影响[J].实用临床医药杂志,2016,20(6):64-66
[5]乔够梅,张晓丽,陆皓,等.认知行为干预对膀胱肿瘤术后灌注化疗患者负性情绪的影响[J].护理学杂志,2016,31(4):77-79
[6]Cai Q,Wu Y,Guo Z,et al.Urine BLCA-4exerts potential role in detecting patients with bladder cancers:A pooled analysis of individual studies[J].Oncotarget,2015,6(35):37500-37510
[7]刘振静,李璟,李玉焕.心理治疗对老年抑郁和焦虑共病患者认知功能的影响[J].中国健康心理学杂志,2016,24(5):752-755
[8]汤小丽,文丽,王礼芹.围手术期心理干预对喉癌患者负性情绪的影响[J].中国肿瘤临床与康复,2015,22(4):477-479
[9]陈允恩,姜宝顺,彭焱.甲状腺癌患者术前、术后健康状况调查[J].中国健康心理学杂志,2016,24(3):355-358
[10]任梅影,赵兰,喻春华.浅析心理护理干预对冠心病患者负性情绪的影响[J].湖南中医药大学学报,2016,2(A02):1167-1168
[11]王亚莉,宋兰英,张艳敏.心理护理干预对冠心病患者负性情绪的影响[J].中国急救医学,2016,36(s2):32-39
[12]Kluth L A,Black P C,Bochner B H,et al.Prognostic and prediction tools in bladder cancer:A comprehensive review of the literature[J].European Urology,2015,68(2):238-242
[13]秦雪芳,顾君芳,韩静红,等.循证护理应用于手术室患者对其负性情绪及并发症的影响[J].国际精神病学杂志,2015,42(4):89-92
[14]CNguyen D P,Awamlh B A H A,Faltas B M,et al.Radical cystectomy for bladder cancer in patients with and without a history of pelvic irradiation:Survival outcomes and diversion-related complications[J].Urology,2015,86(1):99-106
[15]唐宏,石秀珍.腹腔镜和开放手术膀胱癌根治术疗效比较的Meta分析[J].中国公共卫生,2015,7(A03):75-76
[16]段珂玲,王玉,吴欣慰.人文关怀模式护理对乳腺癌根治术后心理障碍患者治疗效果的影响[J].中国健康心理学杂志,2017,25(8):1162-1165
[17]吴文博,程龙,廖正明,等.腹腔镜膀胱癌根治术与开放性膀胱癌根治术临床疗效比较[J].临床外科杂志,2015,23(2):110-112
[18]hao C,Xiang J Q,Yan W C,et al.Bladder tumor heterogeneity:The impact on clinical treatment[J].Urologia Internationalis,2015,95(1):1-8
[19]宋哲,周治军,徐康,等.腹腔镜下根治性膀胱切除术治疗膀胱癌的疗效及对患者血清IL-6及IFN-γ水平的影响[J].现代生物医学进展,2017,17(21):4100-4103
[20]蔡曾琴,彭胤琼,黄秀娟,等.快速康复模式护理在腹腔镜膀胱癌根治性切除术围手术期的应用[J].西部医学,2016,28(8):櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏櫏1168-1171
[21]崔世芳,于春红,李守宾,等.围手术期心理干预对前列腺癌去势治疗患者心理状况及生活质量的影响[J].中国健康心理学杂志,2014,22(1):32-34
[22]王玲玲,薛云珍,牛润桂.心理干预对癌症患者家属负性情绪的影响[J].中国健康心理学杂志,2013,21(9):1356-1357