首页|互动干预模式对喉癌手术患者营养指标、心理状态及生活质量的影响

互动干预模式对喉癌手术患者营养指标、心理状态及生活质量的影响

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目的 探讨互动干预模式对喉癌手术患者营养指标、心理状态及生活质量的影响.方法 根据干预方式的不同将114例喉癌手术患者分为对照组(n=57)和观察组(n=57),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互动干预模式.比较两组患者的营养指标[血红蛋白(Hb)、白蛋白(ALB)、前白蛋白(PAB)]、心理状态[症状自评量表(SCL-90)]、生活质量[华盛顿大学生存质量量表(UW-QOL)]及满意度.结果 干预后,两组患者Hb、ALB、PAB水平均高于本组干预前,观察组患者Hb、ALB、PAB水平均高于对照组,差异均有统计学意义(P<0.05).干预后,两组患者躯体化、抑郁、焦虑评分均低于本组干预前,观察组患者躯体化、抑郁、焦虑评分均低于对照组,差异均有统计学意义(P<0.05).干预后,两组患者UW-QOL各维度评分及总分均高于本组干预前,观察组患者UW-QOL各维度评分及总分均高于对照组,差异均有统计学意义(P<0.05).观察组患者的总满意度为98.25%,明显高于对照组患者的80.70%(P<0.01).结论 互动干预模式应用于喉癌手术患者,可改善患者的营养状况、心理状态及生活质量,提高患者满意度.
Effect of interactive intervention mode on nutritional indexes,psychological status,and quality of life of laryngeal cancer patients undergoing surgery
Objective To explore the effect of interactive intervention mode on nutritional indexes,psychological sta-tus,and quality of life of laryngeal cancer patients undergoing surgery.Method A total of 114 patients with laryngeal cancer undergoing surgery were divided into control group(n=57)and observation group(n=57)according to different in-tervention methods.The patients in the control group received routine intervention,while the patients in the observation group received interactive intervention on the basis of the control group.The nutritional indexes[hemoglobin(Hb),albu-min(ALB),prealbumin(PAB)],psychological status[symptom check list-90(SCL-90)],quality of life[University of Washington quality of life(UW-QOL)]and satisfaction were compared between the two groups.Result After interven-tion,the levels of Hb,ALB and PAB in the two groups were higher than those before intervention,and the levels of Hb,ALB and PAB in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After intervention,the somatization,depression and anxiety scores in the two groups were lower than those before intervention,and the above 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 dimensional scores of UW-QOL and to-tal scores in both groups were higher than those before intervention,with higher scores in the observation group than those in the control group,and the differences were statistically significant(P<0.05).The total satisfaction rate of the ob-servation group was 98.25%,significantly higher than 80.70%of the control group(P<0.01).Conclusion Interactive in-tervention mode can improve the nutritional status,psychological status,quality of life,and satisfaction of laryngeal can-cer patients undergoing surgery.

laryngeal cancerinteractive intervention modenutritional indexpsychological statusquality of life

闫雅楠、马灵草、董婷

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河南省人民医院/郑州大学人民医院耳鼻咽喉头颈外科,郑州 450003

喉癌 互动干预模式 营养指标 心理状态 生活质量

河南省医学科技攻关计划

LHGJ20200054

2024

癌症进展
中国医学科学院,北京协和医学院

癌症进展

影响因子:1.004
ISSN:1672-1535
年,卷(期):2024.22(2)