摘要
目的探讨手术室精准干预在胃癌根治术患者中的应用效果。方法根据干预方法的不同将100例胃癌根治术患者分为对照组和观察组,每组50例,对照组患者采取常规干预,观察组患者在对照组的基础上采取手术室精准干预。比较两组患者的心理状态[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、生理应激反应指标[收缩压(SBP)、舒张压(DBP)、心率(HR)]、生活质量[健康调查简表(SF-36)]、并发症发生情况及满意度。结果干预后,两组患者SAS、SDS评分均低于本组干预前,观察组患者SAS、SDS评分均低于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者SBP、DBP、HR均高于本组干预前,观察组患者SBP、DBP、HR均低于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者生理机能、躯体疼痛、情感职能、精神健康评分均高于本组干预前,观察组患者生理机能、躯体疼痛、情感职能、精神健康评分均高于对照组,差异均有统计学意义(P﹤0.05)。观察组患者的并发症总发生率低于对照组,总满意度高于对照组,差异均有统计学意义(P﹤0.05)。结论手术室精准干预可有效减轻胃癌根治术患者的生理和心理应激反应,降低并发症发生率,提高生活质量和满意度。
Objective To explore the application effect of precise intervention in operating room in patients undergoing radical gastrectomy for gastric cancer.Method A total of 100 gastric cancer patients who underwent radical gastrectomy were divided into control group and observation group according to different intervention methods,with 50 cases in each group.Patients in the control group received routine intervention,while patients in the observation group received precise intervention in operating room on the basis of the control group.The psychological status[self-rating anxiety scale(SAS),self-rating depression scale(SDS)],physiological stress response indicators[systolic blood pressure(SBP),diastolic blood pressure(DBP),heart rate(HR)],quality of life[the MOS 36-item short form health survey(SF-36)],incidence of complications and satisfaction were compared between the two groups.Result After intervention,the SAS and SDS scores in the two groups were lower than those before intervention,and the SAS and SDS scores in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After intervention,the SBP,DBP and HR in the two groups were higher than those before intervention,the SBP,DBP and HR in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After intervention,the physiological function,body pain,emotional function and mental health scores in the two groups were higher than those before intervention,and the physiological function,body pain,emotional function and mental health scores in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The total incidence of complications in the observation group was lower than that in the control group,and the total satisfaction rate was higher than that in the control group,and the differences were statistically significant(P<0.05).Conclusion Precise intervention in operat
作者
尚震月
程慧敏
张莹
杨鸿炜
SHANG Zhenyue;CHENG Huimin;ZHANG Ying;YANG Hongwei(Operating Room,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,He’nan,China;Department of Gastrointestinal Surgery,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,He’nan,China)
出处
《癌症进展》
2024年第3期279-282,共4页
Oncology Progress
基金
河南省医学科技攻关计划联合共建项目(LHGJ20190005)。
关键词
手术室精准干预
胃癌根治术
心理状态
应激反应
生活质量
precise intervention in operating room
radical gastrectomy for gastric cancer
psychological status
stress response
quality of life
