护理中心理关怀对宫颈癌患者心理和免疫力影响研究.docVIP

作者介绍：熊芳芳 作者介绍：熊芳芳（1986-），女，硕士，研究方向：护理教育、护理管理。 通讯作者：赵庆华，Email：glsngd@163.com 熊芳芳，赵庆华 （重庆医科大学附属第一医院护理部，四川重庆，400016） 【摘 要】目的：观察心理关怀对宫颈癌患者术后心理及相关免疫指标的影响，从而建立起一套系统的临床护理干预措施，指导临床实践。方法：样本选取本院自2009年5月～2012年2月诊治的128例宫颈癌患者，按入院先后随机分入心理干预组（观察组）和常规护理组（对照组），分析患者术后的心理特点和相关免疫指标，比较两种护理方法的效果。结果：观察组干预后术前抑郁自评量表（self-rating depression scale，SDS）、焦虑自评量表（self-rating anxiety scale，SAS）得分均显著降低（抑郁t=6.821，P0.001；焦虑t=4.803，P0.001），对照组分值改变不明显（抑郁t=1.570，P=0.146；焦虑t=0.939，P=0.382），干预后观察组两项得分均显著低于对照组（抑郁t=5.415，P0.001；焦虑t=4.299，P0.001）；两组患者干预后T淋巴细胞亚群CD3+、CD4+、CD8+及CD4+/CD8+比值均得到不同程度的改善，但观察组患者要显著优于对照组（t=7.959，P0.001；t=2.543，P=0.015；t=2.983，P=0.004；t=2.778，P0.007；t=5.479，P0.001）。结论：结合心理干预的临床综合护理能够显著改善子宫颈癌患者术后心理健康水平，提高机体免疫力，提升手术治疗效果，改善患者的预后，对临床护理工作地开展具有重要的意义。 【关键词】 宫颈癌；心理干预；恶性肿瘤；妇科；免疫 【中国图书分类法分类号】R711.74 【文献标识码】A 【收稿日期】 The Affect Analysis of Integrated Care Intervention on Cervical Cancer Patients with Psychological and Immune-related Indicators Xiong Fangfang, Zhao Qinghua (Department of Nursing of The First Affiliated Hospital of Chongqing Medical University, 400016, Chongqing, R.P. China) 【Abstract】Objective: To observe the effect of psychological intervention for cervical cancer patients with psychological and immune parameters, in order to establish a system of clinical care interventions that guide clinical practice. Methods: 128 cases of cervical cancer patients were selected from May 2009 to February 2012 in our hospital, they were divided into the integrated care intervention group and usual care group, then compared the effect psychological characteristics of patients and the associated immune indicators. Results: The SDS and the SAS score of observation group intervention was significantly lower (t=6.821, P0.001; t=4.803, P0.001), After the intervention, the two scores observation groupt were significantly lower than the control group (t=5.415, P0.001; t=4.299, P0.001) ; two groups of patients after the intervention of T lymphocyte subsets CD3+, CD4+, CD8+ and CD4+ / CD8+