Influences of integrated nursing care on bad emotion and immune function of postoperative patients with esophageal cancer
10.3760/cma.j.issn.1674-2907.2015.36.012
- VernacularTitle:医护一体化护理对食管癌患者术后不良情绪和免疫功能的影响
- Author:
Yongjian SUN
1
;
Zhenbing YOU
;
Ji HE
;
Wenze TIAN
;
Juan WANG
;
Xin ZHENG
;
Dafu XU
;
Zhongwu HU
Author Information
1. 223300 南京医科大学附属淮安第一医院胸外科
- Keywords:
Esophageal neoplasms;
Anxiety;
Depression;
Immune function;
Integrated nursing care
- From:
Chinese Journal of Modern Nursing
2015;(36):4378-4380
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the influences of integrated nursing care on bad emotion and immune function of postoperative patients with esophageal cancer. Methods A total of 102 postoperative patients selected from October 2012 to October 2013 were randomly divided into research group ( 52 cases, integrated nursing care) and control group(50 cases, routine nursing). Self rating anxiety scale (SAS) and self rating depression scale ( SDS) were used to evaluate the anxiety and depression of patients before and after operations. We detected the contents of immune index such as immunoglobulin ( IgA, IgG, IgM ) , peripheral blood lymphocyte count ( LYM ) , cytokine and etc. before operation, the first and eighth days after operation. Results Patients in the research and the control group all had anxiety and depression symptoms before operation. After operation, the scores of SAS (34. 6 ± 6. 7) and SDS (33. 7 ± 6. 9) of patients in the research group were lower than that in the control group (P<0. 05). Eighth days after operation, the contents of IgA and IgM rose again compared with that in the first postoperative day (t=5. 174,9. 439;P<0. 05). The contents of LYM and cytokine CD4/CD8 of patients in the research group were higher than that in the control group ( P<0. 05), and all of them were higher than that in the first postoperative day. Conclusions Integrated nursing care can relieve anxiety and depression of patients with esophageal cancer, enhance patients′immune function, and benefit patients′recovery.