摘要
目的探讨基于奥马哈系统的延续性干预对肝癌介入手术患者负性情绪、生活质量的影响。方法依据干预方式的不同将116例肝癌介入手术患者分为对照组(n=60)和观察组(n=56),对照组患者接受常规延续性干预,观察组患者接受基于奥马哈系统的延续性干预。比较两组患者的负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、生活质量[欧洲癌症研究与治疗组织生命质量测定量表(EORTC QLQ-C30)]和并发症发生情况。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)。观察组患者的并发症总发生率为12.50%,低于对照组患者的28.33%,差异有统计学意义(P﹤0.05)。干预后,两组患者EORTC QLQ-C30各维度评分均高于本组干预前,观察组患者EORTC QLQC30各维度评分均高于对照组,差异均有统计学意义(P﹤0.05)。结论基于奥马哈系统的延续性干预能够减轻肝癌介入手术患者的焦虑抑郁等负性情绪,降低并发症发生率,提高生活质量。
Objective To explore the effect of continuity intervention based on Omaha system on negative emotions and quality of life in patients with liver cancer undergoing interventional surgery.Method A total of 116 patients with liver cancer undergoing interventional surgery were divided into control group(n=60)and observation group(n=56)based on different intervention methods.Patients in the control group received routine continuity intervention,while pa-tients in the observation group received continuity intervention based on Omaha system.The negative emotions[self-rat-ing anxiety scale(SAS),self-rating depression scale(SDS)],quality of life[European Organization for Research and Treatment of Cancer quality of life questionnaire core 30(EORTC QLQ-C30)],and incidence of complications were com-pared between the two groups.Result After intervention,the SAS and SDS scores in both groups were lower than those before intervention,the SAS and SDS scores in observation group were lower than those in control group,and the differ-ences were statistically significant(P<0.05).The total incidence of complications in observation group was 12.50%,which was lower than 28.33%in control group,and the difference was statistically significant(P<0.05).After interven-tion,the scores of dimensions of EORTC QLQ-C30 in both groups were higher than those before intervention,the scores of dimensions of EORTC QLQ-C30 in observation group were higher than those in control group,and the differences were statistically significant(P<0.05).Conclusion Continuity intervention based on Omaha system can alleviate nega-tive emotions such as anxiety and depression in patients with liver cancer undergoing intervention surgery,reduce the inci-dence of complications,and improve their quality of life.
作者
李佩
袁锐
王慧杰
何行昌
LI Pei;YUAN Rui;WANG Huijie;HE Xingchang(Department of Intervention,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,He’nan,China;Department of Hepatobiliary Surgery,the First People’s Hospital of Shangqiu,Shangqiu 476100,He’nan,China)
出处
《癌症进展》
2024年第24期2715-2718,共4页
Oncology Progress
基金
河南省医学科技攻关计划(联合共建)项目(LHGJ20191495)。
关键词
基于奥马哈系统的延续性干预
肝癌
介入手术
生活质量
continuity intervention based on Omaha system
liver cancer
interventional surgery
quality of life