摘要
目的探讨围手术期综合宣教对直肠癌根治术患者治疗依从性、心理状态和生活质量的影响。方法采用随机数字表法将280例直肠癌患者分为观察组和对照组,每组140例,对照组患者仅给予常规术前健康教育和肠道准备,观察组患者给予围手术期综合宣教。比较两组患者的治疗依从性,采用焦虑自评量表(SAS)和抑郁自评量表(SDS)评估两组患者的心理状况,采用简明健康状况调查问卷(SF-36)评估两组患者的生活质量。结果观察组患者的治疗依从率为93.57%,明显高于对照组患者的72.86%(P﹤0.01)。干预后,两组患者SAS、SDS评分均明显低于本组干预前(P﹤0.01),且观察组患者SAS、SDS评分均明显低于对照组(P﹤0.01)。干预后,两组患者SF-36量表各维度评分均高于本组干预前(P﹤0.05),且观察组患者生理功能、精力、情感职能和精神健康评分均高于对照组(P﹤0.05)。结论围手术期综合宣教有助于提高直肠癌手术患者的治疗依从性,改善负性情绪,提高生活质量。
Objective To explore the effect of comprehensive perioperative education on treatment compliance,psychological state and quality of life of patients undergoing radical resection of rectal cancer.Method Using a random number table method,280 patients with rectal cancer were divided into observation group and control group,with 140 cases in each group.Patients in the control group were only given routine preoperative health education and bowel preparation,and patients in the observation group were given comprehensive education during the perioperative period.The treatment compliance of the two groups of patients was compared,the self-rating snxiety scale(SAS)and the self-rating depression scale(SDS)were used to assess the psychological state of the two groups of patients,and the MOS 36-item short form health survey(SF-36)was used to assess the two groups of patients’life quality.Result The treatment compliance rate of the observation group was 93.57%,which was significantly higher than the 72.86% of the control group(P<0.01).After the intervention,the SAS and SDS scores of the two groups of patients were significantly lower than that before the intervention(P<0.01),and the SAS and SDS scores of the observation group were significantly lower than those of the control group(P<0.01).After the intervention,the scores of all dimensions of the SF-36 scale of the two groups of patients were higher than those of the group before the intervention(P<0.05),and the scores of physiological function,energy,emotional function and psychological health of the observation group were higher than those of the control group(P<0.05).Conclusion Comprehensive perioperative education is helpful to improve the compliance of patients with rectal cancer surgery and improve their psychological and life quality.
作者
李娜
马冬
刘大勇
廖新伟
汪丽伟
张国庆
韩玉
焉红楠
LI Na;MADong;LIU Dayong;LIAO Xinwei;WANG Liwei;ZHANG Guoqing;HAN Yu;YAN Hongnan(Department of Surgery,Zhumadian Central Hospital,Zhumadian 463600,He’nan,China)
出处
《癌症进展》
2021年第12期1284-1286,1291,共4页
Oncology Progress
关键词
围手术期综合宣教
直肠癌
手术
心理状态
生活质量
依从性
comprehensive perioperative education
rectal cancer
operation
psychological state
quality of life
compliance
