Influence of three-dimensional psychological intervention combined with body position intervention on psychological healthand rehabilitation in patients with air leakage after video-assisted thoracoscopic surgery for pulmonary cancer
Objective:To explore the influence of three-dimensional psychological intervention combined with body position intervention on psychological health and rehabilitation in patients with persistent pulmonary air leakage(PAL)after video-assisted thoracoscopic surgery(VATS)for pulmonary cancer.Methods:Totally 82 patients with PAL after VATS for pulmonary cancer in the hospital were selectedfrom January 2018 to January 2024.Among the patients,38 cases who received routine intervention from January 2018 to June 2021 were included in the control group,and 44 cases who carried out three-dimensional psychological intervention combined with postural interven-tion from July 2021 to January 2024 were enrolled as the study group.The negative emotions,mood states,rehabilita-tion status and quality of life were compared between groups.Results:The scores of SAS and SDS in the study group after intervention were lower than those in the control group(t=-2.674,-2.396;P＜0.05).The scores of negative emotions(tension,anger,fatigue,depression and panic)in the study group were lower than those in the control group(t=-2.635,-3.410,-3.612,-4.341,-2.896;P＜0.05)while the scores of positive emotions(energy and self-esteem)were higher than those in the control group(t=4.227,3.668;P＜0.05).Thechest tube indwelling time and postoper-ative hospitalization time were shorter in the study group than the control group(t=-2.196,-3.514;P＜0.05).The incidence of other complications in the study group was lower than that in the control group(x2=4.273,P＜0.05).The scores of dimensions of physiology,psychology,environment and society in the study group were higher than those in the control group(t=3.463,2.256,2.779,2.680;P＜0.05).Conclusion:Three-dimensional psychological in-tervention combined with body position intervention is helpful to improve the negative emotions of PAL patients af-ter VATS,enhance the mood states,promote the postoperative rehabilitation and improve the quality of life.
Three-dimensional psychological interventionBody position interventionVideo-assisted thoraco-scopic surgeryPersistent pulmonary air leakagePsychological healthRehabilitation status
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