【摘要】 目的探讨健康教育联合心理干预对鼻腔鼻窦嗅神经母细胞瘤术后患者心理健康和生活质量的影响。方法采用随机数字表法将82例鼻腔鼻窦嗅神经母细胞瘤患者分为观察组(n=40)和对照组(n=42)。两组患者均给予常规治疗,其中对照组患者给予健康教育,观察组患者给予健康教育联合心理干预。采用鼻腔鼻窦结局测试-20 (sNOT-20)量表评价干预前和干预后1个月两组患者的鼻部症状、睡眠障碍及情感障碍,分别采用焦虑自评量表(SAS)和抑郁自评量表(SDS)评价干预前和干预后1个月两组患者的焦虑、抑郁情绪,采用健康调查简表(SF-36)评价干预前和干预后1个月两组患者的生活质量,采用自制依从性量表评价干预前和干预后1个月两组患者的治疗依从性。结果干预后1个月,观察组患者的鼻部症状评分、睡眠障碍评分和情感障碍评分均低于对照组,差异均有统计学意义(P<0.05)。干预后1个月,观察组患者的SAS、SDS评分均低于对照组,差异均有统计学意义(P<0.05)。干预后1个月,观察组患者的活力、情感职能和精神健康评分均高于对照组,差异均有统计学意义(P<0.05)。观察组患者的治疗依从性明显优于对照组,差异有统计学意义(P<0.01)。结论健康教育联合心理干预有助于减轻鼻腔鼻窦嗅神经母细胞瘤术后患者的负性情绪,提高睡眠质量、生活质量及治疗依从性,值得临床推广应用。更多还原

【Abstract】 Objective To investigate the effect of health education combined with psychological intervention on postoperative mental health and quality of life of patients with olfactory neuroblastoma in nasal cavity and paranasal sinuses.Method A total of 82 patients with olfactory neuroblastoma n nasal cavity and paranasal sinuses were selected and randomly divided into observation group(n=40) and control group(n=M) using the random number table method.All patients were given routine treatment,the control group was given health education intervention,and the observation group was given health education combined with psychological intervention.The smo-nasal outcome test-20(sNOT-20) scale was used to evaluate the nasal symptoms,sleep disorders,and mental disorders of the two groups before and one month after the intervention.The self-rating anxiety scale(SAS) and the self-rating depression scale(SDS) were used to evaluate the anxiety and depression of the two groups before and one month after the intervention.The MOS 36-item short form health survey(SF-36) was used to evaluate the quality of life,and the self-inade adherence scale was used to assess the treatment compliance of the two groups before and one month after the intervention.Result One month after the intervention,the nasal symptom score,sleep disorder score,and mental disorder score of the observation group were lower than those of the control group,the differences were statistically significant(P<0.05).One month after the intervention,the SAS and SDS scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).One month after the intervention,the scores of vitality,emotional function,and mental health of the observation group were higher than those of the control group,the differences were statistically significant(P<0.05).The treatment compliance of the observation group was significantly better than that of the control group,and the difference was statistically significant(P<0.01).Conclusion Health education combined with psychological intervention could help regulate negative emotions in patients with olfactory neuroblastoma in nasal cavity and paranasal sinuses,improve sleep quality,quality of life and treatment compliance,and it is worthy of cinical application.更多还原