心理支持对直肠癌根治术后肠内营养支持依从性、心理状态及免疫功能的影响

Effects of psychological support on compliance of enteral nutrition support, psychological status and immune function in patients with rectal cancer after radical resection

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2018, 45(5)
作者
作者单位

青岛市市立医院 ;
枣庄市立医院 ;

摘要
【摘要】 目的:探讨心理支持疗法(PPST)对直肠癌患者根治术后肠内营养(EN)支持的依从性、心理状态、免疫功能的影响。方法:将82例直肠癌根治术后需行EN患者随机分为两组:对照组(n=41)接受常规护理,研究组(n=41)在对照组基础上接受PPST。比较两组EN依从性、术后康复情况及并发症情况,分别于干预前后评价汉密尔顿焦虑量表(HAMA)和汉密尔顿抑郁量表(HAMD)评分,并检测免疫功能指标及营养指标。结果:研究组EN依从率为95.12%,显著高于对照组的75.61%(P<0.05);护理后研究组的HAMA、HAMD评分显著低于对照组(P<0.05);护理后研究组的中性粒细胞计数(NEU)、自然杀伤细胞(NK)、T淋巴细胞亚群(CD4+、CD4+/CD8+)、血清总蛋白(TP)及白蛋白(ALB)水平显著高于对照组(P<0.05);研究组术后恢复肛门排气时间、半流质饮食时间显著短于对照组,并发症发生率为4.88%,显著低于对照组的21.95%(P<0.05)。结论:在直肠癌患者根治术后EN护理中应用PPST能够提高患者的依从性,提高免疫功能并改善心理状态,减少术后并发症并促进术后康复。
Abstract
【Abstract】 Objective: To investigate the effect of psychological support therapy (PPST) on the compliance of enteral nutrition (EN) support, psychological status and immune function in patients with rectal cancer after radical resection. Methods: 82 patients with rectal cancer underwent radical resection were randomly divided into two groups: the control group (n=41) received routine nursing,the observation group (n=41) received PPST on the basis of control group.The compliance of EN,postoperative rehabilitation and complications were compared between the two groups,the scores of HAMA and HAMD were evaluated before and after intervention,the immune function indexes and nutritional index es were measured. Results: The compliance rate of EN was 95.12% in the research group, significantly higher than 75.61% in the control group (P<0.05);The HAMA and HAMD scores in the research group, were significantly lower than those of the control group (P<0.05),while the levels of NEU, NK, T lymphocyte subsets (CD4+, CD4+/CD8+), TP and ALB were significantly higher (P<0.05);The anal exhaust time, semi-liquid diet time in research group was significantly shorter than the control group,and the complication rate was significantly lower than that of the control group (4.88% vs 21.95%, P<0.05). Conclusion: PPST can improve the compliance of EN in patients with rectal cancer after radical resection ,which can improve the immune function and psychological status, reduce postoperative complications and promote postoperative rehabilitation.
关键词
【关键词】直肠癌;根治性手术;肠内营养支持;依从性;心理支持;心理状态;免疫功能
KeyWord
【Key words】 Rectal cancer; Radical resection; Enteral nutrition; Compliance; Psychological support; Psychological status; Immune function
基金项目
页码 955-958
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徐波,乔汇,郑君,郑黎媛*. 心理支持对直肠癌根治术后肠内营养支持依从性、心理状态及免疫功能的影响 [J]. 国际精神病学杂志. 2018; 45; (5). 955 - 958.

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