Xie Yu-Huan, Xie Hai-Tong, Wang Tian-Shu, Shu Yi-Ping, Dai Xing-Liang
Department of Neurosurgery, The First Affiliated Hospital of Anhui Medical University.
School of Medicine, Anhui Medical University, Hefei, Anhui, China.
Medicine (Baltimore). 2019 Feb;98(7):e14411. doi: 10.1097/MD.0000000000014411.
To compare the effect of perioperative holistic care versus conventional care on the levels of anxiety and depression of pituitary tumor patients at a single tertiary care center in China.We enrolled 100 patients who underwent transnaso-sphenoidal microsurgical resection of pituitary tumor at our institution between January 2017 and December 2017. The patients were assigned to the conventional care group (n = 50) and the holistic care group by the order of admission. Patients were evaluated by staff nurses at admission and upon discharge from the hospital using the self-rating anxiety scale (SAS), and the self-rating depression scale (SDS). QoL was assessed using EORTC QLQ-C30.The 2 groups were comparable in the demographic and baseline variables including baseline SDS and SAS scores (P > .05). A significantly greater reduction in SAS score was observed in the holistic care group versus the conventional care group (-19.14% vs -11.60%; P < .05). Moreover, we observed a significantly greater reduction in SDS score in the holistic care group versus the conventional care group (-40.4% vs -18.79%, P < .05). The QoL functional domain scores at discharge were significantly higher in the holistic care group than the conventional care group (P < .05).Perioperative holistic care significantly alleviates the levels of anxiety and depression and improves QoL of pituitary adenoma patients.
在中国一家三级医疗中心,比较围手术期整体护理与传统护理对垂体瘤患者焦虑和抑郁水平的影响。我们纳入了2017年1月至2017年12月期间在我院接受经鼻蝶窦垂体瘤显微切除术的100例患者。按照入院顺序将患者分为传统护理组(n = 50)和整体护理组。在入院时和出院时,由护士使用自评焦虑量表(SAS)和自评抑郁量表(SDS)对患者进行评估。使用欧洲癌症研究与治疗组织生活质量核心问卷(EORTC QLQ-C30)评估生活质量。两组在人口统计学和基线变量方面具有可比性,包括基线SDS和SAS评分(P>0.05)。与传统护理组相比,整体护理组的SAS评分显著降低(-19.14%对-11.60%;P<0.05)。此外,我们观察到整体护理组的SDS评分较传统护理组显著降低(-40.4%对-18.79%,P<0.05)。整体护理组出院时的生活质量功能领域评分显著高于传统护理组(P<0.05)。围手术期整体护理可显著减轻垂体腺瘤患者的焦虑和抑郁水平,并改善其生活质量。