Application of psychological intervention in postoperative care after liver cancer surgery and analysisof quality of life
心理干预在肝癌手术后护理中的应用及对生活质量分析

摘要

目的 探究肝癌手术后护理中心理干预的应用效果及对患者生活质量的影响。方法 样本均由兰州市第二人民医院提供，均确诊肝癌，开展手术治疗，共计100例，手术时间2021年1月~2023年1月间。抽签法随机分2组，50例/组。对照组行常规护理，观察组则联用心理干预。比较两组术后并发症发生率、术后疼痛感以及护理前后负性情绪、生活质量得分。结果 术后并发症中，观察组发生率2.00%较对照组低（P<0.05）。术后疼痛感中，观察组术后1 d VAS得分（3.62±1.08）分、术后2 d VAS得分（2.72±0.70）分、术后3 d VAS得分（1.79±0.65）分均较对照组低（P<0.05）。负性情绪中，观察组护理后SAS得分（42.34±4.98）分、SDS得分（43.05±4.20）分较对照组低（P<0.05）。生活质量中，观察组护理后SF-36中躯体伤害得分（76.77±6.14）分、生理健康得分（74.15±6.02）分、社会功能得分（79.12±6.06）分、精神状态得分（86.12±6.54）分较对照组高（P<0.05）。结论 肝癌手术护理中，心理干预可应用效果显著，有效改善心理状态，提高生活质量，还可减轻术后疼痛感，减少并发症，值得推广。

Abstract

Objective To explore the application effect of psychological intervention in postoperative nursing for liver cancer and its impact on patients' quality of life.
Methods All the samples were provided by the Second People's Hospital of Lanzhou City. All of them were diagnosed with liver cancer and underwent surgical treatment, a total of 100 cases. The operation time was from January 2021 to January 2023. They were randomly divided into 2 groups with 50 cases/group. The control group received routine nursing, the observation group was combined with psychological intervention. The incidence of postoperative complications, postoperative pain, negative emotions and quality of life scores before and after nursing were compared between the two groups.
Results The incidence of postoperative complications in observation group was 2.00% lower than that in control group (P<0.05). In postoperative pain, the VAS scores of the observation group were lower than those of the control group (P<0.05) : (3.62±1.08) points 1 day after surgery, (2.72±0.70) points 2 days after surgery and (1.79±0.65) points 3 days after surgery. In the negative emotion, the SAS score (42.34±4.98) and SDS score (43.05±4.20) of the observation group were lower than those of the control group (P<0.05). In terms of quality of life, the physical injury score (76.77±6.14), physiological health score (74.15±6.02), social function score (79.12±6.06) and mental state score (86.12±6.54) of SF-36 in the observation group were higher than those in the control group (P<0.05).
Conclusion   Psychological intervention can effectively improve the psychological state, improve the quality of life, reduce postoperative pain and reduce complications, and it is worth promoting.