摘要
目的研究病友互助模式对肝癌介入手术患者不良情绪、主观幸福感及生活质量的影响。方法将2017年3月至2018年3月的肝癌介入手术患者(96例)作为对照组,2018年4月至2019年4月的肝癌介入手术患者(104例)作为观察组。两组患者均采用腹腔镜肝癌根治术,术后化疗方案一致。对照组采用常规护理模式干预,观察组在对照组的基础上,给予病友互助模式干预,持续干预2个月。观察记录观察组和对照组不良情绪、主观幸福感、生活质量以及术后不良反应发生情况。患者出院后进行为期1年的随访,记录患者预后情况。结果干预后,观察组患者的焦虑自评量表(SAS)评分明显低于对照组(P﹤0.01)。干预后,观察组患者幸福感指数量表(IWB)评分明显高于对照组,差异有统计学意义(P﹤0.01)。干预后,观察组患者躯体功能、心理功能、症状/副作用、社会功能评分及生活质量指数(LQI)均明显高于对照组,差异均有统计学意义(P﹤0.01)。观察组患者不良反应总发生率低于对照组,差异有统计学意义(P﹤0.05)。观察组患者1年生存率高于对照组,差异有统计学意义(P﹤0.05)。结论病友互助模式可明显改善肝癌介入手术患者不良情绪,提高患者主观幸福感,提高生活质量,减少术后不良反应,改善患者预后。
Objective To study the effect of mutual assistance mode on the negative emotion,subjective well-being,and quality of life of patients undergoing interventional surgery for liver cancer.Method A total of 96 patients undergoing interventional surgery for liver cancer from March 2017 to March 2018 were selected as the control group,and 104 patients undergoing interventional surgery for liver cancer from April 2018 to April 2019 were selected as the observation group.Both groups of patients underwent laparoscopic radical hepatocellular carcinoma resection,and the postoperative chemotherapy regimen was the same.The control group was treated with conventional nursing mode intervention,and the observation group was given mutual assistance mode based on the fundamental regimen,and the duration of the intervention was 2 months.The negative emotion,subjective well-being,quality of life,and postoperative adverse events in the observation group and the control group were recorded and observed.After the patient was discharged from the hospital,a one-year follow-up was carried out to record the prognosis of the relevant patient.Result After the intervention,the self-rating anxiety scale(SAS)score of the observation group was significantly lower than that of the control group(P<0.01).After the intervention,the index of well-being(IWB)score of the observation group was significantly higher than that of the control group,and the difference was statistically significant(P<0.01).After the intervention,the scores of physical function,psychological function,symptoms/side effects,social function,and life quality index(LQI)of the observation group were significantly higher than those of the control group,and the differences were statistically significant(P<0.01).The total incidence of adverse events in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The one-year overall survival of patients in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The mutual assistance mode among patients could significantly improve the negative emotion of patients undergoing interventional surgery for liver cancer,improve their subjective well-being,quality of life and reduce the risk of postoperative adverse events and,finally improve their prognosis.
作者
王晓娟
张雪雪
王秀静
WANG Xiaojuan;ZHANG Xuexue;WANG Xiujing(Department of Infectious Diseases,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,He’nan,China)
出处
《癌症进展》
2021年第20期2145-2148,共4页
Oncology Progress
关键词
肝癌介入手术
病友互助模式
不良情绪
主观幸福感
生活质量
interventional surgery for liver cancer
mutual assistance model
negative emotion
subjective well-being
quality of life
作者简介
通信作者:张雪雪,邮箱:fnoqch@163.com。
