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稳定化技术对食管癌患者围手术期心理应激干预效果观察

贾艳艳 单墨水 王栩轶 英静静 王红丽 崔红

解放军医学院学报Issue(4):350-353,356,5.
解放军医学院学报Issue(4):350-353,356,5.DOI:10.3969/j.issn.2095-5227.2013.04.014

稳定化技术对食管癌患者围手术期心理应激干预效果观察

Intervention effect of stabilizing technique on mental stress in esophageal carcinoma patients during perioperation

贾艳艳 1单墨水 1王栩轶 1英静静 1王红丽 1崔红1

作者信息

  • 1. 解放军总医院,北京 100853
  • 折叠

摘要

Abstract

Objective To assess the intervention effect of stabilizing technique on mental stress in esophageal carcinoma patients during perioperation. Methods Sixty-seven patients with pathology-confirmed esophageal squamous cell carcinoma admitted to our hospital from May 2011 to May 2012 were randomly divided into control group (n=32) and intervention group (n=35). Another 65 healthy persons served as a control group. Mental condition in control group was assessed. Subjects in control group received surgical treatment and routine care. Patients in intervention group received mental intervention of stabilizing technique during perioperation in addition to the treatment in control group. Results The average depression and anxiety scores were significantly higher in intervention group than in control group (22.623±7.670 vs 6.285±1.741, 12.481±3.312 vs 4.040±1.332). The average depression and anxiety scores were significantly lower in intervention group than in control group after operation (5.16±1.66 vs 9.68±2.72, 9.61±2.70 vs 15.78±4.41). The depression and anxiety scores were significantly lower in intervention group after operation than before operation (5.16±1.66 vs 12.72±3.53, 9.61±2.70 vs 23.82±7.81). The sleep quality score was significantly higher in intervention group than in control group (7.58±1.78 vs 3.67±5.39) and was significantly lower in intervention group than in control group after operation(3.94±3.34 vs 6.44±1.69). Except for“use of hypnotics"and"daytime dysfunction", the other sleep quality factors showed a significant difference (P<0.05). The analgesics use time, self-expectoration time, bed time and hospital stay time were significantly shorter whereas the scores of appetite, pain, family understanding and cooperation and disease were significantly higher in intervention group than in control group after operation (P < 0.05). Conclusion Stabilizing technique can improve the postoperative mental stress, rehabilitation and quality of life of esophageal carcinoma patients.

关键词

心理干预/稳定化技术/食管癌/围手术期/心理应激

Key words

psychological intervention/stabilization technique/esophageal carcinoma/peroperative period/psychological stress

分类

医药卫生

引用本文复制引用

贾艳艳,单墨水,王栩轶,英静静,王红丽,崔红..稳定化技术对食管癌患者围手术期心理应激干预效果观察[J].解放军医学院学报,2013,(4):350-353,356,5.

解放军医学院学报

OACSTPCD

2095-5227

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