积极理念渗透式延续管理对老年喉癌患者心理状态及康复效果的影响

Effects of positive concept infiltration continuous management on psychological state and rehabilitation outcome of elderly patients with laryngeal cancer

中文关键词: 老年, 喉癌, 积极理念, 延续管理, 癌性疲乏, 生命质量, 负性情绪

英文关键词: elderly  laryngeal cancer  positive ideas  continuing management  cancer fatigue  quality of life  negative emotion

中文摘要:

      目的 观察积极理念渗透式延续管理对老年喉癌患者心理状态及康复效果的影响.方法 前瞻性选取2022年1月-2023年8月西京医院收治的100例老年喉癌患者,随机分为观察组和对照组,每组50例.对照组给予常规干预,观察组采用积极理念渗透式延续管理.采用中文版Piper疲乏修订量表评估癌性疲乏,采用焦虑自评量表和抑郁自评量表评估焦虑及抑郁,采用C型行为问卷调查量表评估心理状态,采用欧洲癌症研究与治疗组织生命质量测定量表评估生命质量;记录2组患者并发症.结果 干预后,观察组认知、躯体、行为评分均低于对照组(P＜0.05);观察组SAS评分及SDS评分均低于对照组(P＜0.05);观察组患者负性情绪评分低于对照组,正性情绪、情绪控制评分均高于对照组(P＜0.05),2组社会支持评分差异无统计学意义(P＞0.05);观察组情绪功能、社会功能评分均高于对照组(P＜0.05),疲惫疼痛评分低于对照组(P＜0.05);2组肺部感染、咽瘘、误吸、痰痂堵塞、切口感染发生情况差异均无统计学意义(P＞0.05).结论 积极理念渗透式延续管理可减轻老年喉癌患者癌性疲乏,改善焦虑、抑郁、心理状态,提高患者生命质量,具有一定的应用价值.

英文摘要:

      Objective To observe the effects of positive concept infiltration continuous management on the psychologi-cal state and rehabilitation outcome of elderly patients with laryngeal cancer.Methods 100 elderly patients with laryngeal cancer admitted to Xijing Hospital from January 2022 to August 2023 were prospectively selected and randomly divided into ob-servation group and control group,with 50 cases in each group.The control group received routine intervention,and the obser-vation group adopted the positive concept infiltration continuous management.The Chinese version of the Revised Piper Fatigue Scale(RPFS)was used to evaluate cancer fatigue.The Self-Rating Anxiety Scale and Self-Rating Depression Scale were used to evaluate anxiety and depression.The Type C Behavior Questionnaire Scale was used to evaluate the psychological state.The European Cancer Research and Treatment Organization Quality of Life Scale was used to evaluate the quality of life.The com-plications in both groups were recorded.Results After intervention,the scores of cognition,body and behavior and the total score of RPFS of the observation group were lower than those of the control group(P＜0.05).The scores of SAS and SDS of the observation group were lower than those of the control group(P＜0.05).The score of the negative emotion of the observa-tion group was lower than that of the control group,the scores of the positive emotion and emotion control were higher than those of the control group(P＜0.05),but there was no significant difference in the score of social support between the two groups(P＞0.05).The scores of emotional function and social function of the observation group were higher than those of the control group(P＜0.05),and score of the fatigue pain was lower than that of the control group(P＜0.05).There was no statistical significant difference in the incidence of pulmonary infection,pharyngeal fistula,aspiration,phlegm scab blockage and incision infection between the two groups(P＞0.05).Conclusion The positive concept infiltration continuation manage-ment can alleviate cancer fatigue in elderly patients with laryngeal cancer,improve their anxiety,depression and psychological state,and improve the quality of life.It has certain practical value.