癌症进展2024,Vol.22Issue(2) :187-190.DOI:10.11877/j.issn.1672-1535.2024.22.02.17

多元性干预对腹腔镜下胆囊癌根治术患者自我护理能力、负性情绪及并发症发生情况的影响

Effect of multiple intervention on self-care ability,negative emotions and complications in patients undergoing laparoscopic radical cholecystectomy

张凯丽 支慧 单单单 徐丽
癌症进展2024,Vol.22Issue(2) :187-190.DOI:10.11877/j.issn.1672-1535.2024.22.02.17

多元性干预对腹腔镜下胆囊癌根治术患者自我护理能力、负性情绪及并发症发生情况的影响

Effect of multiple intervention on self-care ability,negative emotions and complications in patients undergoing laparoscopic radical cholecystectomy

张凯丽 1支慧 1单单单 1徐丽1
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作者信息

  • 1. 河南省人民医院麻醉与围术期医学科,河南省护理医学重点实验室,郑州大学人民医院,郑州 450000
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摘要

目的 探讨多元性干预对腹腔镜下胆囊癌根治术患者自我护理能力、负性情绪及并发症发生情况的影响.方法 依据干预方法的不同将105例腹腔镜下胆囊癌根治术患者分为观察组(n=55,多元性干预)和对照组(n=50,常规干预).比较两组患者的术后恢复指标、负性情绪[汉密尔顿焦虑量表(HAMA)和汉密尔顿抑郁量表(HAMD)]、自我护理能力[自我护理能力测定量表(ESCA)]及并发症发生情况.结果 观察组患者的术后排气时间、下床活动时间及住院时间均明显短于对照组,差异均有统计学意义(P<0.01).干预14天后,两组患者ESCA量表各维度评分均高于本组干预前,观察组患者ESCA量表各维度评分均高于对照组,差异均有统计学意义(P<0.05).干预14天后,两组患者HAMA、HAMD评分均低于本组干预前,观察组患者HAMA、HAMD评分均低于对照组,差异均有统计学意义(P<0.05).观察组患者的术后并发症总发生率为3.64%,低于对照组患者的16.00%,差异有统计学意义(P<0.05).结论 多元性干预在腹腔镜下胆囊癌根治术患者中的应用价值较高,能改善患者的负性情绪,提高患者的自我护理能力,降低术后并发症发生率.

Abstract

Objective To investigate the effect of multiple intervention on self-care ability,negative emotions and complications in patients undergoing laparoscopic radical cholecystectomy.Method A total of 105 patients with laparo-scopic radical cholecystectomy were divided into observation group(n=55,multiple intervention)and control group(n=50,conventional intervention)according to different intervention methods.Postoperative recovery indicators,negative emotions[Hamilton anxiety scale(HAMA)and Hamilton depression scale(HAMD)],self-care ability[exercise of self-care agency scale(ESCA)]and complications were compared between the two groups.Result The postoperative ex-haust time,getting out of bed activity time and hospitalization time of the observation group were significantly shorter than those of the control group,the differences were statistically significant(P<0.01).Fourteen days after intervention,the dimensional scores of ESCA in both groups were higher than those before intervention,the dimensional scores of ES-CA in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).Fourteen days after intervention,the scores of HAMA and HAMD in both groups were lower than those before in-tervention,the scores of HAMA and HAMD in the observation group were lower than those in the control group,the dif-ferences were statistically significant(P<0.05).The total incidence of postoperative complications in the observation group was 3.64%,which was lower than 16.00%in the control group,and the difference was statistically significant(P<0.05).Conclusion The application value of multiple intervention in patients with laparoscopic radical cholecystectomy is high,which can improve patients'negative emotions,enhance self-care ability,and reduce the incidence of postopera-tive complications.

关键词

胆囊癌/多元性干预/腹腔镜根治术/负性情绪/自我护理能力

Key words

gallbladder cancer/multiple intervention/laparoscopic radical surgery/negative emotion/self-care ability

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基金项目

河南省医学科技攻关计划联合共建项目(2022)(LHGJ20220075)

出版年

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
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