摘要
目的探讨心理社会支持治疗对腹腔镜胃癌根治术后患者干预效果。方法将我院2018年9月~2020年9月期间87例腹腔镜辅助下胃癌根治术术后患者根据随机数字表法分为对照组和观察组。对照组43例给予常规术后管理,观察组44例在此基础上接受心理社会支持治疗,治疗2月。对比两组患者癌因性疲乏程度、疾病不确定感、免疫功能。结果治疗后观察组血清补体C3、C4水平及自然杀伤细胞(NK)比率较对照组高;观察组不明确性、复杂性、不可预测性及信息缺乏性的评分较对照组低;观察组躯体、情感、认知维度的评分及总分较对照组低(P<0.05)。结论心理社会支持治疗能够有效降低腹腔镜胃癌根治术后患者癌因性疲乏,改善患者的疾病不确定感,提升患者的免疫功能。
Objective To analyze the effect of psychosocial support therapy on gastric cancer patients after laparoscopic radical.Methods 87 gastric cancer patients after laparoscopic radical in our hospital from September 2018 to September 2020 were randomly divided into control group and observation group.43 patients in the control group were given routine postoperative management,and 44 patients in the observation group received psychosocial support treatment for 2 months.The degree of cancer-related fatigue,disease uncertainty and immune function of the two groups were compared.Results After treatment,the levels of serum complement C3 and C4 and the ratio of natural killer cells(NK)in the observation group were higher than those in the control group(P<0.05).The scores of uncertainty,complexity,unpredictability and lack of information in the observation group were lower than those in the control group(P<0.05).The scores and total scores of physical,emotional and cognitive dimensions in the observation group were lower than those in the control group(P<0.05).Conclusion The psychosocial support therapy can effectively reduce cancer-related fatigue,improve disease uncertainty and improve immune function of the gastric cancer patients after laparoscopic radical.
作者
段涛
王万群
刘自超
孙培春
DUAN Tao;WANG Wanqun;LIU Zichao(The Second Affiliated Hospital of Nanyang Medical College,Nanyang 473000,China)
出处
《国际精神病学杂志》
2021年第6期1083-1086,共4页
Journal Of International Psychiatry
基金
河南省医学科技攻关计划项目(编号:201602203)。
关键词
心理社会支持
常规治疗
腹腔镜胃癌根治术
Psychosocial support
Routine treatment
Laparoscopic radical gastrectomy
