Department of Gynecology, The First Affiliated Hospital of Hebei North University, 075000 Zhangjiakou, Hebei, China.
Actas Esp Psiquiatr. 2024 Oct;52(5):686-692. doi: 10.62641/aep.v52i5.1847.
This study aimed to explore the quality of life and anxiety status of patients with ovarian tumor undergoing enhanced recovery after surgery (ERAS).
This article retrospectively analyzed the clinical data of 300 patients with ovarian tumor admitted in the First Affiliated Hospital of Hebei North University. The patients were divided into two groups according to the perioperative management methods. A total of 156 patients who received traditional perioperative management were included in the control group, and the ERAS group included 144 patients who received traditional perioperative management combined with ERAS management. Quality of life questionnaire-C30 (QLQ-C30) and self-rating anxiety scale (SAS) were used to compare the postoperative quality of life and anxiety status.
The ERAS group showed significantly shorter first feeding time (p < 0.001), exhaust time (p < 0.001) and defecation time (p = 0.002), infusion time (p = 0.026), and hospitalization time (p < 0.001) than the control group. Inter-group comparison showed no significant difference in QLQ-C30 scores in terms of physical (p = 0.345), role (p = 0.509), emotional (p = 0.235), cognitive (p = 0.462), and social functions (p = 0.645) before surgery. The scores of physical, role, emotional, cognitive, and social functions in the ERAS group were significantly higher than the control group after surgery (p < 0.001). There was no significant difference in preoperative anxiety scores between the two groups (p = 0.056). The postoperative anxiety score of the ERAS group was significantly lower than that of the control group (p = 0.002).
ERAS could alleviate the postoperative negative emotions such as anxiety, promote the physical and mental health and improve the quality of life of patients with ovarian tumor.
本研究旨在探讨接受加速康复外科（ERAS）治疗的卵巢肿瘤患者的生活质量和焦虑状况。
本研究回顾性分析了河北北方学院第一附属医院收治的 300 例卵巢肿瘤患者的临床资料。根据围手术期管理方法将患者分为两组，其中接受传统围手术期管理的 156 例患者纳入对照组，接受传统围手术期管理联合 ERAS 管理的 144 例患者纳入 ERAS 组。采用生活质量问卷-C30（QLQ-C30）和自评焦虑量表（SAS）比较两组患者术后的生活质量和焦虑状况。
与对照组相比，ERAS 组患者首次进食时间（p＜0.001）、排气时间（p＜0.001）、排便时间（p=0.002）、输液时间（p=0.026）和住院时间（p＜0.001）明显缩短。组间比较，两组患者术前 QLQ-C30 量表的躯体功能（p=0.345）、角色功能（p=0.509）、情绪功能（p=0.235）、认知功能（p=0.462）和社会功能（p=0.645）评分差异均无统计学意义。ERAS 组术后躯体功能、角色功能、情绪功能、认知功能和社会功能评分均明显高于对照组（p＜0.001）。两组患者术前焦虑评分差异无统计学意义（p=0.056）。ERAS 组术后焦虑评分明显低于对照组（p=0.002）。
ERAS 可减轻卵巢肿瘤患者术后焦虑等负性情绪，促进身心康复，提高生活质量。
