Effects of individualized nursing care on negative mood and cellular immune function in patients with primary palmar hyperhidrosis
10.3760/cma.j.issn.1674-2907.2018.03.018
- VernacularTitle:个性化护理对手汗症患者负面情绪和细胞免疫功能的影响
- Author:
Huiping ZHANG
1
;
Yishuang ZOU
;
Yanhua ZHANG
;
Yong FEI
Author Information
1. 314001,浙江省嘉兴市第一医院麻醉与疼痛医学中心
- Keywords:
T-lymphocyte subsets;
Anxiety;
Depression;
Individualized nursing care;
Primary palmar hyperhidrosis
- From:
Chinese Journal of Modern Nursing
2018;24(3):324-327
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effects of individualized nursing care on postoperative negative mood and cellular immune function of patients with primary palmar hyperhidrosis.Methods From March 2015 to August 2016, according to the principle of completely random digital table, a total of 60 patients with primary palmar hyperhidrosis who were treated with thoracic sympathetic modulation in the First Hospital of Jiaxing were divided into observation group and control group, with 30 patients in each. The patients in the control group received routine nursing care, while the patients in the observation group had been treated with individualized nursing care before surgery besides the routine nursing care. Patients' venous blood samples were taken for the percentage of blood T lymphocyte subsets and CD4+/CD8+ ratio in both groups at 4 time points: T0 (24 hours before the operation), T1 (24 hours after operation), T2 (48 hours after operation), and T3 (72 hours after the operation). In addition, the changes of negative mood such as anxiety and depression were observed and compared between the two groups by SCL-90.Results Compared with T0, the scores of somatization, paranoia, anxiety, depression and hostility of the two groups were significantly lower at T1, T2 and T3, and the differences were statistically significant (P<0.05). Compared with the control group, the scores of somatization, paranoia, anxiety, depression and hostility of the observation group were significantly lower at T1, T2 and T3 (P<0.05). Compared with T0, the levels of CD3+, CD4+ and CD4+/CD8+ were significantly increased and CD8+ significantly decreased at T1, T2 and T3 in both groups (P<0.05). Compared with the control group, the levels of CD3+, CD4+ and CD4+/CD8+ were significantly increased and CD8+ significantly decreased at T1, T2 and T3,respectively (P<0.05).Conclusions Personalized nursing care can effectively improve postoperative anxiety, depression and other negative emotions and cellular immune function of the patients with primary hyperhidrosis, it is worthy of further clinical promotion.
