首页|系统化干预对急诊肝癌合并消化道出血患者心理状态及生活质量的影响

系统化干预对急诊肝癌合并消化道出血患者心理状态及生活质量的影响

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目的 探讨系统化干预对急诊肝癌合并消化道出血患者心理状态及生活质量的影响.方法 根据干预方式的不同将101例急诊肝癌合并消化道出血患者分为对照组(n=50)和观察组(n=51),对照组患者接受常规干预,观察组患者在对照组的基础上接受系统化干预.比较两组患者的止血效果、心理状态[抑郁自评量表(SDS)、焦虑自评量表(SAS)]、生活质量[欧洲癌症研究与治疗组织生命质量测定量表(EORTC QLQ-C30)]、不良反应发生情况及满意度.结果 观察组患者的止血总有效率为98.04%,高于对照组患者的82.00%,差异有统计学意义(P<0.05).干预后,两组患者SDS、SAS评分均低于本组干预前,EORTC QLQ-C30量表各维度评分均高于本组干预前,观察组患者SDS、SAS评分均低于对照组,EORTC QLQ-C30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).观察组患者的并发症总发生率为3.92%,明显低于对照组患者的22.00%,总满意度为100%,明显高于对照组患者的80.00%,差异均有统计学意义(P<0.01).结论 系统化干预应用于急诊肝癌合并消化道出血患者,止血效果明显,能够改善患者的生活质量及心理状态,降低并发症发生率,患者满意度较高.
Effects of systematic intervention on psychological status and quality of life in emergency patients with liver cancer complicated with gastrointestinal bleeding
Objective To explore the effects of systematic intervention on psychological status and quality of life in emergency patients with liver cancer complicated with gastrointestinal bleeding.Method A total of 101 patients with emergency liver cancer combined with gastrointestinal bleeding were divided into control group(n=50)and observation group(n=51)according to the intervention methods.The control group received routine intervention,while the observa-tion group received systematic intervention on the basis of the control group.The hemostatic effect,psychological status[self-rating depression scale(SDS),self-rating anxiety scale(SAS)],quality of life[European Organization for Research and Treatment of Cancer quality of life questionnaire core 30(EORTC QLQ-C30)],incidence of adverse reactions and satisfaction were compared between the two groups.Result The total effective rate of hemostasis in the observation group was 98.04%,which was higher than 82.00%in the control group,and the difference was statistically significant(P<0.05).After intervention,the scores of SDS,SAS in both groups were lower than those before intervention,and the scores of all dimensions of EORTC QLQ-C30 scale were higher than those before intervention,the scores of SDS,SAS in the observation group were lower than those in the control group,and the scores of all dimensions of EORTC QLQ-C30 scale were higher than those in the control group,and the differences were statistically significant(P<0.05).The total incidence of complications in the observation group was 3.92%,which was lower than 22.00%in the control group,the satisfaction in the observation group was 100%,which was higher than 80.00%in the control group,and the differences were statisti-cally significant(P<0.01).Conclusion Systematic intervention applied to emergency patients with liver cancer compli-cated with gastrointestinal bleeding has a significant hemostatic effect,improve the quality of life and psychological state,reduce the incidence of complications,and achieve high satisfaction.

live cancer complicated with gastrointestinal bleedingquality of lifesystematic interventioncomplica-tion

张真真、赵阳阳、吕翠平、杨香果

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郑州大学第一附属医院急诊重症监护病区,郑州 450000

肝癌合并消化道出血 生活质量 系统化干预 并发症

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(7)