摘要
目的:观察心理干预联合健康教育对胃癌患者睡眠质量及免疫功能的影响。方法:选取2019年1月至2022年1月联勤保障部队第九〇九医院收治的胃癌术后患者100例作为研究对象,按照随机数字表法分为观察组和对照组,每组50例。对照组给予常规护理进行干预,观察组在对照组的基础上,给予心理护理干预联合健康教育。观察比较2组患者的CD3~+细胞水平、CD4~+细胞水平、NK细胞水平;采用匹兹堡睡眠指数量表(PSQI)比较2组患者睡眠质量的差异,采用焦虑自评量表(SAS)、抑郁自评量表(SDS)比较2组患者焦虑、抑郁症状的改善情况,比较2组患者护理满意度。结果:干预后,2组患者CD3~+细胞、CD4~+细胞、NK细胞水平均有所升高,且观察组显著高于对照组,2组比较差异均有统计学意义(P<0.05);干预后,2组患者PSQI评分、SAS评分、SDS评分均有所降低,且观察组显著低于对照组,2组比较差异均有统计学意义(P<0.05);护理干预后,观察组的总护理满意率显著高于对照组,2组比较差异有统计学意义(P<0.05)。结论:相比于单纯常规护理干预,应用心理干预联合健康教育疗法能更有效地增强胃癌术后患者的免疫功能,提高患者睡眠质量,改善患者焦虑、抑郁情绪,提高护理满意度。
Objective:To observe the effect of psychological intervention combined with health education on sleep quality and immune function in patients with gastric cancer.Methods:A total of 100 patients with gastric cancer after surgery admitted to the909th Hospital of Joint Logistic Support Force from January 2019 to January 2022 were selected as the research objects.According to the random number table method,they were divided into the observation group and the control group,with 50 cases in each group.The control group was given routine nursing intervention,the observation group was given psychological nursing intervention combined with health education on the basis of the control group.The levels of CD3cells,CD4cells and NK cells were observed and compared between 2 groups.Pittsburgh Sleep Quality Index(PSQI) was used to compare the difference of sleep quality between2 groups.Self-rating Anxiety Scale(SAS) and Self-rating Depression Scale(SDS) were used to compare the improvement of anxiety and depression symptoms of patients in the 2 groups,and the nursing satisfaction of patients in 2 groups was compared as well.Results:After intervention,the levels of CD3cells,CD4cells and NK cells in the 2 groups were increased,and the observation group was significantly higher than the control group,and the differences between the 2 groups were statistically significant(Ps<0.05).After intervention,the PSQI score,SAS score and SDS score of the two groups were decreased,and the observation group was significantly lower than the control group,and the differences between the 2 groups were statistically significant(Ps<0.05).After nursing intervention,the total nursing satisfaction rate of the observation group was significantly higher than that of the control group,and the difference between the 2 groups was statistically significant(P<0.05).Conclusion:Compared with simple routine nursing intervention,psychological intervention combined with health education therapy can more effectively enhance the immune function of patients with gas
作者
陈雯
邵小金
赖伟华
CHEN Wen;SHAO Xiao Jin;LAI Weihua(The 90th Hospital of Joint Logistic Support Force,Zhangzhou 363000,China)
出处
《世界睡眠医学杂志》
2022年第9期1701-1704,共4页
World Journal of Sleep Medicine
关键词
心理干预
健康教育
胃癌
睡眠质量
免疫功能
焦虑
抑郁
Psychological intervention
Health education
Gastric cancer
Sleep quality
Immune function
Anxiety
Depression
