Research on the impact of psychological nursing intervention on postoperative quality of life in patients with urological tumors
心理护理干预对泌尿肿瘤患者术后生活质量的影响研究

摘要

目的 探究多维度心理护理干预对泌尿肿瘤患者术后心理状态、生活质量及并发症发生率的影响，为泌尿肿瘤围手术期护理优化提供依据。方法 选取2024年1月-2025年1月收治的70例泌尿肿瘤术后患者，随机分为对照组（35例，常规术后护理）与实验组（35例，常规护理+多维度心理护理）。对照组行病情监测、基础健康指导；实验组实施认知重构、情绪疏导、社会支持强化及正念减压训练，干预周期8周。结果 实验组术后8周SAS评分（36.28±4.05分）低于对照组（51.73±5.21分）（t=13.962，P<0.001）；实验组生活质量评分（81.36±5.42分）高于对照组（64.58±6.17分）（t=12.735，P<0.001）；实验组并发症发生率（8.57%）低于对照组（25.71%）（χ2=4.200，P=0.040）。结论 多维度心理护理干预可有效改善泌尿肿瘤患者术后心理状态，提升生活质量，降低并发症风险，具有重要临床推广意义。

Abstract

Objective To explore the impact of multi-dimensional psychological nursing intervention on the postoperative psychological state, quality of life, and complication rate of patients with urological tumors, and to provide a basis for optimizing perioperative nursing of urological tumors.
Methods A total of 70 patients with urological tumors who underwent surgery and were admitted from January 2024 to January 2025 were randomly divided into a control group(35 cases, routine postoperative nursing)and an experimental group(35 cases, routine nursing+multi-dimensional psychological nursing).The control group received disease monitoring and basic health guidance; the experimental group implemented cognitive restructuring, emotional counseling, social support enhancement, and mindfulness-based stress reduction training, with an intervention cycle of 8 weeks.
Results The SAS score of the experimental group at 8 weeks after surgery(36.28±4.05 points)was lower than that of the control group(51.73±5.21 points)(t=13.962, P<0.001);the quality of life score of the experimental group(81.36±5.42 points)was higher than that of the control group(64.58±6.17 points) (t=12.735, P<0.001);the complication rate of the experimental group (8.57%) was lower than that of the control group(25.71%) (χ2=4.200, P=0.040).
Conclusion   Multi-dimensional psychological nursing intervention can effectively improve the postoperative psychological state of patients with urological tumors, enhance their quality of life, and reduce the risk of complications, which has important clinical promotion significance.