引用本文:陈春梅,胡红星,无.[cn_title][J].[journal_cn_name],2018,[volume]([issue]):166-169.[点击复制]
chengchunmei,huhongxing,无.[en_title][J].[journal_en_name],2018,[volume]([issue]):166-169.[点击复制]
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围手术期舒适护理对纵膈肿瘤患者免疫指标及预后的影响
陈春梅,胡红星
0
(甘肃省酒泉市人民医院心胸外科 甘肃酒泉 730050)
摘要:
目的探讨围手术期舒适护理对纵隔肿瘤患者免疫指标及预后的影响。 方法2015年6月至2017年6月酒泉市人民医院心胸外科收治的75例纵隔肿瘤患者,均行胸腔镜手术切除治疗。根据护理方法的不同分为对照组和研究组。在患者围手术期采用常规护理的35例为对照组,采用舒适护理的40例为研究组。比较两组患者抑郁焦虑程度,术后免疫指标的变化及患者满意度,术后随访6~24个月,比较两组患者术后生活质量。 结果两组患者术前焦虑自评量表(SAS)及抑郁自评量表(SDS)评分相比,差异无统计学意义(P>005);术后,研究组SAS及SDS评分均低于对照组(P<005)。术后24 h、72 h、7 d,研究组的C反应蛋白(CRP)水平低于对照组(P<005);术后24 h、72 h研究组的IgG水平高于对照组(P<005),而在术后7 d,两组IgG水平相比差异无统计学意义(P>005)。研究组术后患者满意度为8250%,高于对照组的5429%(P<005)。在术后1、3及6个月,研究组KPS评分均高于对照组(P<005)。 结论围手术期舒适护理,可改善患者术后负面情绪,提高患者免疫功能及满意度,改善患者术后生活质量。
关键词:  围手术期  舒适护理  纵隔肿瘤  预后
DOI:
基金项目:
Effect of comfort nursing perioperative on immune indexes and prognosis of patients with mediastinal tumor
chengchunmei,huhongxing
(People''s Hospital of Jiuquan City)
Abstract:
ObjectiveTo investigate the effects of comfort nursing in perioperative period on immune indexes and prognosis of patients with mediastinal tumor. MethodFrom June 2015 to June 2017, 75 patients with mediastinal tumors admitted to the Department of Cardiothoracic Surgery in Jiuquan City People’s Hospital of were selected. All patients receiving thoracoscopic surgery were divided into the control group and the observation group according to nursing method. In the perioperative period, 35 cases were treated with routine nursing as control group, and 40 cases with comfortable nursing as observation group. The degree of depression and anxiety, postoperative immune indexes and satisfaction were compared between two groups. The postoperative quality of life was compared between the two groups during the followup period of 6 to 24 months. ResultsThere was no significant difference between the two groups of scores on SAS and SDS (P>005). However, the scores of SAS and SDS in the study group were significantly lower than those in the control group at postoperative (P<005). The time of ambulation and hospitalization in the observation group were significantly shorter than that in the control group (P<005). The level of CRP in study group was significantly lower than that in the control group after operation 24 h, 72 h and 7 d. Meanwhile, the level of IgG in study group was significantly higher than that in control group after 24 h and 72 h. But the difference of IgG level between the two groups was not significant after the operation 7 d (P>005). The degree of postoperative patient satisfaction in the study group was 8250%, which was significantly higher than that in control group (5429%, P<005). The KPS scores in study group at 1, 3 and 6 months after the operation were significantly higher than those in the control group(P<005). ConclusionsPerioperative comfort care can improve patients negative emotion after operation, increase the immune function of the patients, satisfaction, and improve the quality of life after operation.
Key words:  Perioperative period  Comfort nursing  Mediastinal tumor  Prognosis

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