Influence of staged rehabilitation combined with therapeutic communication intervention on postoperative mental state and quality of life of patients with gallbladder cancer
10.3760/cma.j.cn115682-20200619-03972
- VernacularTitle:阶段性康复联合治疗性沟通对胆囊癌患者术后心理状态及生活质量的影响
- Author:
Fengli DIAN
1
;
Xuemei WANG
;
Junjie XIA
Author Information
1. 郑州大学第一附属医院肝胆胰外二科，郑州 450000
- Keywords:
Gallbladder neoplasms;
Rehabilitation;
Quality of life;
Therapeutic communication system;
Mental state
- From:
Chinese Journal of Modern Nursing
2021;27(11):1511-1514
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore and analyze the effect of staged rehabilitation combined with therapeutic communication system (TCS) intervention mode on postoperative mental state and quality of life of patients with gallbladder cancer.Methods:A total of 170 patients with gallbladder cancer admitted to the Second Department of Hepatobiliary and Pancreatic in the First Affiliated Hospital of Zhengzhou University from February 2019 to February 2020 were selected by convenience sampling method as the research objects, and were randomly divided into observation group ( n=86) and control group ( n=84) . Patients in the control group were given routine nursing, while patients in the observation group were given staged rehabilitation combined with TCS intervention mode. The scores of the MOS 36-Item Short-Form Health Survey (SF-36) , the Self-rating Anxiety Scale (SAS) and the Self-rating Depression Scale (SDS) before and after intervention, and the incidence of complications after intervention were compared. Results:After intervention, the SF-36 scores of the two groups were higher than those before operation, and the score of the observation group was higher than those of the control group, the differences were statistically significant ( P<0.01) . After intervention, the SAS and SDS scores of the two groups were lower than those before the intervention, and the scores of observation group were lower than those of the control group, the differences were statistically significant ( P<0.01) . The total incidence of postoperative complications in the observation group was 4.65% (4/86) , which was lower than 23.81% (20/84) in the control group. The difference was statistically significant ( P<0.01) . Conclusions:Staged rehabilitation combined with TCS intervention can effectively reduce the incidence of postoperative complications in patients with gallbladder cancer, improve the mental state of patients, and improve their quality of life.
