心理干預(yù)對(duì)直腸癌腸造口患者的效果評(píng)價(jià)
[Abstract]:Objective: To observe the effect of psychological intervention on rectal cancer intestinal construction by comparing the scores of self-rating anxiety scale (SAS), self-rating depression scale (SDS), rectal cancer quality of life inventory (QOL) and laboratory indexes including CD3, CD4, CD8, CD4 / CD8, natural killer cell (NK cell) and white blood cell count (WBC) in different treatment groups. To explore the effect of psychological intervention on emotion, immune function and quality of life of patients with rectal cancer undergoing enterostomy, and to promote the rehabilitation and improve the quality of life of patients with rectal cancer undergoing enterostomy.
Methods: According to the admission criteria, 62 patients with rectal cancer undergoing enterostomy were selected from the current inpatients in Anorectal Department of Shanxi Cancer Hospital from May to September 2008. The patients were randomly divided into intervention group and control group, 32 patients in intervention group and 30 patients in control group. Three months after intervention, the control group received routine treatment. Before and after intervention, the scale scores, laboratory indexes and the difference between the two groups were compared.
Results: (1) There was no significant difference in age, sex, occupation, marital status, economic status, previous medical history, stoma time, education level between the intervention group and the control group before intervention (P The scores of SDS and SAS were significantly lower than those of the control group (P 0.01), and the scores of SAS were significantly lower than those of the control group (P 0.05). The total score of OL was significantly higher than that of the control group (P 0.01), and the scores of psychological factors and social factors were significantly higher than those of the control group (P 0.05), suggesting that psychological intervention can help improve the emotional state and quality of life of patients with enterostomy. The number of NK Cells in the intervention group was significantly higher than that in the control group (P 0.05), and the WBC count was significantly higher than that in the control group (P 0.05), suggesting that psychological intervention can improve the immune function of patients with enterostomy. The difference of SAS between intervention group and control group was significant (P 0.01), suggesting that the effect of psychological intervention could reduce the anxiety and depression of intervention group, and promote the improvement of emotion. The difference was significant (P 0.01), and the difference between the control group and the intervention group was significantly higher. The difference between the two groups was also significant (P 0.05). The difference between the control group and the intervention group was significantly higher. (4) Multivariate stepwise regression analysis was used to analyze the significant difference. The main related factors of SDS difference, SAS difference, CD3 difference, CD8 difference and NK Cell difference were psychological intervention.
Conclusion: Anxiety, depression and low immune function exist in rectal cancer patients with enterostomy, which lead to poor quality of life and prognosis of the disease. Psychological intervention can effectively improve the anxiety, depression, positive and healthy psychological status of rectal cancer patients with enterostomy. Immune function, and then improve the quality of life of patients, help and promote rectal cancer patients with enterostomy rehabilitation and even prolong survival.
【學(xué)位授予單位】:山西醫(yī)科大學(xué)
【學(xué)位級(jí)別】:碩士
【學(xué)位授予年份】:2009
【分類號(hào)】:R735.37;R395.5
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