心理护理对胃癌根治术后患者免疫功能的影响  

Effect of Psychological Nursing on Immune Function of Patients with Gastric Carcinoma after Radical Operation

作　　者：白茹[1] 陈永侠[1] 王莉[1] BAI Ru;CHEN Yong-xia;WANG Li(Department of External Oncology,Subject Two,First Affiliated Hospital of Bengbu Medical College,Bengbu 233000,Anhui,China)

机构地区：[1]蚌埠医学院第一附属医院肿瘤外二科,安徽蚌埠233000

出　　处：《医学信息》2018年第20期170-172,共3页Journal of Medical Information

基　　金：蚌埠医学院科研课题项目(课题编号:BYKY1689)

摘　　要：目的探究心理护理对胃癌根治术后患者免疫功能的影响。方法选择我院自2017年3月～2018年3月收治的102例行胃癌根治术治疗的患者作为研究对象,将其随机分成对照组和观察组,每组51例,对照组采用常规护理,观察组采用常规护理联合心理护理干预,对比两组CD4^+/CD8^+比值、护理总有效率、并发症发生率。结果护理前,研究组患者的CD4^+/CD8^+比值(21.24±3.26)与对照组(21.36±3.45)对比,差异无统计学意义(P>0.05),护理后,研究组患者的CD4^+/CD8^+比值(30.41±4.50),高于对照组(23.37±4.13),差异有统计学意义(P<0.05);研究组患者护理的总有效率为96.08%,高于对照组的86.27%,差异有统计学意义(P<0.05);研究组患者术后并发症发生率为3.92%,低于对照组的15.69%,差异有统计学意义(P<0.05)。结论对行胃癌根治术治疗的患者施行心理护理干预,不仅能有效提高患者术后的免疫功能和整体治疗效果,同时还能降低其术后并发症的发生率。Objective To explore the effect of psychological nursing on immune function of patients with gastric cancer after radical operation.Methods 102 patients who underwent gastric cancer after radical operation in our hospital from March 2017 to March 2018 were enrolled in the study.They were randomly divided into control group and observation group,51 cases in each group.The control group received routine nursing.The observation group used routine nursing combined with psychological nursing intervention to compare the ratio of CD4＋/CD8＋,total effective rate of care and complication rate.Results Before treatment,the CD4＋/CD8＋ ratio（21.24±3.26）of the study group was compared with the control group（21.36±3.45）,the difference was not statistically significant（P〉0.05）.After nursing,the CD4＋/CD8＋ratio of the study group patients（30.41±4.50）,higher than the control group（23.37±4.13）,the difference was statistically significant （P〈0.05）.The total effective rate of the study group was 96.08%,which was higher than the control group 86.27%,the difference was statistically significant（P〈0.05）;the postoperative complication rate was 3.92% in the study group,which was lower than the control group 15.69%,the difference was statistically significant（P〈0.05）.Conclusion Psychological nursing intervention for patients undergoing gastric cancer after radical operation can not only improve the postoperative immune function and overall treatment,but also reduce the incidence of postoperative complications.

关 键 词：心理护理 胃癌根治术 免疫功能 

分 类 号：R473.73[医药卫生—护理学]