癌症进展2024,Vol.22Issue(7) :775-778.DOI:10.11877/j.issn.1672-1535.2024.22.07.17

三维干预模式在肝癌术后慢加急性肝衰竭患者中的应用效果

Application effect of three-dimensional intervention model in patients with acute-on-chronic liver failure after liver cancer surgery

王路 卢瑞杰 苏冰 刘婉 门翔
癌症进展2024,Vol.22Issue(7) :775-778.DOI:10.11877/j.issn.1672-1535.2024.22.07.17

三维干预模式在肝癌术后慢加急性肝衰竭患者中的应用效果

Application effect of three-dimensional intervention model in patients with acute-on-chronic liver failure after liver cancer surgery

王路 1卢瑞杰 1苏冰 1刘婉 1门翔2
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作者信息

  • 1. 南阳市中心医院感染ICU,河南 南阳 473000
  • 2. 南阳市中心医院呼吸内科,河南 南阳 473000
  • 折叠

摘要

目的 探讨三维干预模式在肝癌术后慢加急性肝衰竭(ACLF)患者中的应用效果.方法 将106例肝癌术后ACLF患者按照干预模式的不同分为观察组(三维干预模式)57例和对照组(常规干预)49例.比较两组患者焦虑自评量表(SAS)、抑郁自评量表(SDS)、生活质量综合评定问卷-74(GQOLI-74)、匹兹堡睡眠质量指数(PSQI)评分,并记录并发症发生情况.结果 干预后,两组患者SAS、SDS评分均较干预前降低,且观察组患者SAS、SDS评分均低于对照组,差异均有统计学意义(P<0.05).干预后,两组患者躯体功能、生理功能、社会功能、物质生活评分均较干预前升高,且观察组患者躯体功能、生理功能、社会功能、物质生活评分均高于对照组,差异均有统计学意义(P<0.05).干预后,两组患者PSQI量表各维度评分均较干预前降低,且观察组患者PSQI量表各维度评分均低于对照组,差异均有统计学意义(P<0.05).观察组患者并发症总发生率低于对照组,差异有统计学意义(P<0.05).结论 将三维干预模式应用于肝癌术后ACLF患者中,可有效改善患者心理状况,提高睡眠质量与生活质量,且能有效降低相关并发症发生率,值得临床推广.

Abstract

Objective To explore the application effect of three-dimensional intervention model in patients with acute-on-chronic liver failure(ACLF)after liver cancer surgery.Method A total of 106 postoperative ACLF patients with liver cancer were divided into observation group(three-dimensional intervention mode)of 57 cases and control group(conventional intervention)of 49 cases according to different intervention modes.The scores of self-rating anxiety scale(SAS),self-rating depression scale(SDS),general quality of life inventory-74(GQOLI-74)and Pittsburgh sleep quality index(PSQI)were compared between the two groups,and the incidence of complications was recorded.Result After the intervention,the SAS and SDS scores of the two groups were lower than those before the intervention,and the SAS and SDS scores of the observation group were lower than those of the control group,the differences were statistical-ly significant(P<0.05).After the intervention,the scores of physical function,physiological function,social function and material life of the two groups were higher than those before the intervention,and the scores of physical function,physio-logical function,social function and material life of the observation group were higher than those of the control group,the differences were statistically significant(P<0.05).After the intervention,the PSQI scores of the two groups were lower than those before the intervention,and the PSQI scores of the observation group were lower than those of the control group,the differences were statistically significant(P<0.05).The total incidence of complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion The ap-plication of three-dimensional intervention model in patients with ACLF after liver cancer surgery can effectively im-prove the psychological status of patients,improve the quality of sleep and life,and effectively reduce the incidence of re-lated complications,which is worthy of clinical promotion.

关键词

三维干预模式/肝癌/慢加急性肝衰竭

Key words

three-dimensional intervention model/liver cancer/acute-on-chronic liver failure

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基金项目

河南省科技发展计划(2022)(222102310528)

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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