中国健康心理学杂志2026，Vol.34Issue(1)：50-54,5.DOI:10.13342/j.cnki.cjhp.2026.01.010
加速康复外科理念的综合干预对扁桃体炎切除术患者术后疼痛、心理健康及生活质量的影响
Impact of ERAS—based comprehensive intervention on postoperative pain,mental health,and quality of life in patients undergoing tonsillectomy
摘要
Abstract
Objective:To investigate the clinical efficacy of an Enhanced Recovery After Surgery(ERAS)—based comprehensive intervention in improving postoperative pain control,psychological adjustment,and holistic recovery outcomes among tonsillectomy patients diagnosed with tonsillitis.Methods:A convenience sampling approach was used to recruit 104 patients who underwent tonsillectomy in the otorhinolaryngology department of our hospital be-tween March 2023 and March 2024.Participants were randomly assigned to a study group(n=52)and a control group(n=52)using a random number table.The control group received conventional perioperative care,while the study group received an ERAS-based comprehensive intervention in addition to routine care.The intervention period lasted 1 month.Outcomes were assessed using the Visual Analog Scale(VAS)for pain,the Self-Rating Anxiety Scale(SAS),the Self-Rating Depression Scale(SDS),the Distress Thermometer(DT),and the European Organiza-tion for Research and Treatment of Cancer Quality of Life Questionnaire(EORTC QLQ-C30).Subdomains of the EORTC QLQ-C30 were analyzed under functional status,symptom burden,and global health status categories.Re-sults:At baseline,the two groups demonstrated comparable scores in VAS,SAS,SDS,DT,and all quality—of-life dimensions(P＞0.05).Post-intervention,the VAS score in the study group was significantly lower than in the con-trol group(t=-7.305,P＜0.05).The SAS and SDS scores in the study group were significantly lower than in the control group(t=-8.726,-11.088;P＜0.05).The DT score in the study group was significantly lower than in the control group(t=-2.918,P＜0.05).The Functional Scale and Global Quality of Life Scale scores in the study group were significantly higher than in the control group(t=5.727,6.599;P＜0.05).The Symptom Scale and Single Item scores in the study group were significantly lower than in the control group(t=-3.059,-8.016;P＜0.05).Conclusion:The ERAS-based comprehensive intervention effectively alleviates postoperative pain in patients undergoing tonsil-lectomy,improved psychological well-being,and enhances overall quality of life.These findings highlight its promis-ing clinical utility in perioperative management.关键词
加速康复外科理念/扁桃体炎切除术/术后疼痛/心理健康/生活质量Key words
Enhanced recovery after surgery/Tonsillectomy/Postoperative pain/Mental health/Quality of life分类
医药卫生引用本文复制引用
党歌,付林飞,陈宏扬..加速康复外科理念的综合干预对扁桃体炎切除术患者术后疼痛、心理健康及生活质量的影响[J].中国健康心理学杂志,2026,34(1):50-54,5.基金项目
2020年度河南省医学科技攻关计划联合共建项目(编号:LHGJ20200508) （编号:LHGJ20200508）
