The Intervention Of Stabilization Technology On The Psychological Stress Of Patients With Esophageal Carcinoma During The Stage Of Operation

Objectives: To explore the psychological stress of patients with esophagealcarcinoma during the stage of operation, and the intervention of stabilizationtechnology on the psychological stress, and to provide scientific basis for patientswith esophageal carcinoma during the stage of operation of psychological interventionprograms to provide a scientific basis.Methods: From May2011to May2012,67patients with esophageal carcinoma inpathological department of General Hospital of PLA were enrolled in the study.Convenient sampling and group matching were used,67participants weredivided into two groups,35in the intervention group and32in the controlgroup. Other65healthy persons served as healthy control group. Subjectsin the control group were received operation treatment and routine care.Patients in intervention group were given psychological intervention inaddition to treatment in control group, and healthy control group onlyassess mental status. The Hamilton Anxiety Scale (HAMA), HamiltonDepression Scale (HAMD) and Pittsburgh sleep quality index (PSQI) areused respectively to evaluate psychological stress of patients of interventiongroup and control group before and after the intervention. Appetite score,pain score, family understanding and cooperation and disease knowledge inquality of life (QOL) developed by the domestic organizations for tumorpatients are used to evaluate quality of life of patients of intervention groupand control group7days after operation. The application time of analgesic,self-expectoration time, bed time, number of hospitalization days, and theoccurrence of postoperative complications are compared between twogroups. The data are analyzed bySPSS17.0.Results: Operation before, the HAMD and HAMA scores of patientswith esophageal carcinoma were significantly higher than those in healthy controlgroup (P<0.05). Operation before, the HAMD and HAMA scores showed no significant difference in the intervention group(P>0.05), which were sameto the control group; After operation, the HAMA and HAMD score of theintervention group were significantly lower than that in the control group(P<0.05). The HAMA and HAMD scores of the pre-and post-operationshowed significant difference in the intervention group (P<0.05), whichwere same to HAMA scores in the control group; however, the HAMDscores showed no significant difference in the control group (P>0.05).Operation before, the sleep quality score of patients with esophagealcarcinoma were significantly higher than those in healthy control group (P<0.05).Operation before, the sleep quality factors scores showed no significantdifference in the intervention group(P>0.05), which were same to thecontrol group; After operation, except for “Use of Medicine” and “Daytimedysfunction”, other factors scores of the intervention group showedsignificant difference than that in the control group(P<0.05). Except for“Use of Medicine” and “Daytime dysfunction”, the other factors scores ofthe pre-and post-operation showed significant difference in theintervention group(P<0.05); however, the sleep quality factors scores of thepre-and post-operation showed no significant difference in the controlgroup(P>0.05).The application time of analgesic were significantly less in theintervention group than that in the control group (P<0.01). Theself-expectoration time were significantly less in the intervention group thanthat in the control group (P<0.01), and82.8％of patients expectorated in48hours in the intervention group, while28.1%in the controlgroup(χ2=8.7326, P<0.01). Bed time and number of hospitalization dayswere significantly less in the intervention group than that in the control group(P<0.01).7days after operation, appetite score, pain score, family understandingand cooperation and disease knowledge in quality of life(QOL) weresignificantly higher in the intervention group than that in the control group(P<0.05).The occurrence of postoperative complications showed no significantdifference between intervention group and control group (χ2=3.5358,P>0.05). There were6postoperative complications in the interventiongroup,17.1％of occurrence;12in the control group,37.5％ofoccurrence.