文章摘要
韩允,项洁,刘雯,胡小红,徐伟文,王雨新.围手术期肺康复对肺癌术后患者不良情绪的影响[J].中国康复,2021,36(9):528-531
围手术期肺康复对肺癌术后患者不良情绪的影响
Effect of perioperative pulmonary rehabilitation on adverse mood of patients after lung cancer surgery
  
DOI:
中文关键词: 围手术期肺康复  肺癌  不良情绪  生活质量
英文关键词: perioperative pulmonary rehabilitation  lung cancer  negative emotion  quality of life
基金项目:国家重点基础研究发展计划(973计划)
作者单位
韩允 徐州医科大学第二临床医学院,江苏 徐州 221000 
项洁 徐州医科大学附属医院康复科江苏 徐州 221000 
刘雯 徐州医科大学附属医院康复科江苏 徐州 221000 
胡小红 徐州医科大学附属医院康复科江苏 徐州 221000 
徐伟文 徐州医科大学第二临床医学院,江苏 徐州 221000 
王雨新 徐州医科大学第二临床医学院,江苏 徐州 221000 
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中文摘要:
  目的:探讨围手术期肺康复对肺癌术后患者不良情绪、生活质量、住院费用及引流管放置时间的影响。方法:选取73例接受胸腔镜微创手术的肺癌患者,随机分为观察组38例,对照组35例。对照组在手术基础上,接受心胸外科常规治疗。观察组在对照组基础上接受系统围手术期肺康复。干预前后采用焦虑自评量表(SAS)、抑郁自评量表(SDS)及SF-36生活质量评分量表(SF-36)对2组患者进行评定,并统计引流管放置时间及住院费用。结果:干预后2个月,2组患者SAS和SDS评分较干预前均明显降低(均P<0.01),且观察组以上评分均明显低于对照组(均P<0.01);2组患者SF-36评分较干预前均明显提高(均P<0.01),且观察组更高于对照组(P<0.01)。结论:围手术期肺康复可减轻肺癌患者情绪压力,改善焦虑和抑郁状态,提高患者生活质量。
英文摘要:
  Objective: To investigate the effect of perioperative pulmonary rehabilitation on adverse mood, quality of life and hospitalization expenses of patients with lung cancer after surgery. Methods: Totally, 73 patients with lung cancer undergoing minimally invasive thoracoscopic surgery were selected, and randomly divided into the treatment group (n=38) and the control group (n=35). The control group and treatment group received routine treatment of cardiothoracic surgery, and the treatment group received systematic perioperative pulmonary rehabilitation additionally. Before and after the intervention, the anxiety self-rating scale (SAS), depression self-rating scale (SDS), SF-36 quality of life scale (SF-36) were used to evaluate the two groups. The indwelling time of drainage tube and hospitalization expenses were recorded. Results: Two months after the intervention, SAS and SDS scores in the two groups were significantly lower than those before the intervention (all P<0.01), and the scores in the treatment group were significantly lower than those in the control group (all P<0.01). The scores of SF-36 after intervention in both groups were significantly higher than those before intervention (all P<0.01), and those in the treatment group were significantly higher than those in the control group (P<0.01). Conclusion: Perioperative pulmonary rehabilitation can reduce the emotional stress of patients with lung cancer and improve the quality of life.
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