Influence of doctor-nurse integration intervention on the psychological status and stress response of rectal cancer patients undergoing laparoscopic radical resection
Objective To explore the influence of doctor-nurse integration intervention on the psychological status and stress response of rectal cancer patients undergoing laparoscopic radical resection.Method A total of 108 patients with rectal cancer were selected and underwent laparoscopic radical resection.They were divided into control group(n=58)and observation group(n=50)according to different intervention methods.The control group received routine inter-vention,while the observation group received doctor-nurse integration intervention.The psychological status[symptom check list-90(SCL-90)],stress response indicators[diastolic blood pressure(DBP),systolic blood pressure(SBP),heart rate(HR)],quality of life[European Organization for Research and Treatment of Cancer quality of life questionnaire core 30(EORTC QLQ-C30)],and incidence of complications were compared between the two groups.Result After interven-tion,the depression,obsessive-compulsive disorder,anxiety,and interpersonal sensitivity scores of both groups were low-er than those before intervention,the depression,obsessive-compulsive disorder,anxiety,and interpersonal sensitivity scores of the observation group were lower than those of the control group,and the differences were statistically signifi-cant(P＜0.05).After surgery,the HR,SBP,and DBP of control group were higher than those before surgery and the obser-vation group,and the differences were statistically significant(P＜0.05).After intervention,the scores of dimension of EORTC QLQ-C30 in both groups were higher than those before intervention,the scores of each dimension of EORTC QLQ-C30 in observation group were higher than those in control group,and the differences were statistically significant(P＜0.05).The total incidence of complications in the observation group was 4.00％,which was lower than 15.52％in the control group,and the difference was statistically significant(P＜0.05).Conclusion Doctor-nurse integration interven-tion can significantly improve the psychological state of rectal cancer patients undergoing laparoscopic radical resection,effectively stabilize their postoperative stress indicators,improve their quality of life,and reduce the incidence of postop-erative complications.
doctor-nurse integration interventionlaparoscopic radical resection of rectal cancerpsychological sta-tusstress response
万方数据
维普
