心理护理干预对直肠癌术后患者心理状态 与免疫功能影响分析.docVIP

心理护理干预对直肠癌术后患者心理状态 与免疫功能影响分析 　　[摘要] 目的 探?心理护理干预对直肠癌术后患者心理状态与免疫功能的影响和效果。 方法 以2014年9月～2015年9月我院收治的66例经直肠癌手术的患者作为研究对象，并将其分为观察组和对照组，每组33例。对照组患者采用常规护理方式，观察组在常规护理方式的基础上采用心理护理干预，对患者的心理、行为、社会三个方面进行护理干预，促进患者的术后恢复。在护理过程结束后，对两组患者的不良情绪改善情况和免疫功能恢复情况进行比较，并进行数据分析。 结果 本研究结果显示，观察组和对照组护理前SAS评分及SDS评分没有明显差异，但护理后，观察组的SAS评分[（39.24±6.65）分]和SDS评分[（38.77±6.33）分]均显著优于对照组，两组比较差异具有统计学意义（P0.05）。在免疫功能方面，观察组NK[（23.58±6.83）%]、CD3+[（67.03±8.87）%]、CD4+[（35.10±7.73）%]、CD8+[（26.59±5.54）%]均明显优于对照组，两组比较差异有统计学意义（P0.05）。 结论 心理护理干预对直肠癌术后患者心理状态与免疫功能恢复方面效果显著，具有重要的临床价值，可以在今后的护理工作中被广泛使用，以提升护理质量。 　　[关键词] 心理护理干预；直肠癌；心理状态；免疫功能 　　[中图分类号] R473.73 [文献标识码] B [文章编号] 1673-9701（2017）17-0148-03 　　[Abstract] Objective To explore the influence and effect of psychological nursing intervention on psychological status and immune function in the patients after the surgery of rectal cancer. Methods A total of 66 patients undergoing the surgery of rectal cancer who were admitted to our hospital from September 2014 to September 2015 were selected as the subjects in the study. They were divided into observation group and control group， with 33 patients in each group. Patients in the control group were given routine nursing care， and the observation group was further given psychological nursing intervention on the basis of routine nursing care. Through the three aspects of psychological， behavioral and social aspects， the nursing intervention was carried out in the patients， so as to promote the postoperative recovery of patients. At the end of the nursing process， the adverse emotion improvement and immune function recovery were compared between the two groups of patients and the data were analyzed at the same time. Results The results of this study showed that the SAS score and SDS score in the observation group and the control group were not significantly different before nursing. However， after nursing， the SAS score（39.24±6.65） and SDS score （38.77±6.33） in the observation group were significantly better than those in the