摘要
目的探讨应用心理咨询技术对肝癌术前焦虑患者神经内分泌激素、免疫指标和焦虑情绪的影响。方法采用焦虑自评量表（SAS）对肝癌住院患者进行评估，筛选出有焦虑与非焦虑患者；再根据随机分组序列号分为焦虑心理干预组与焦虑常规组、非焦虑心理干预组与非焦虑常规组。比较焦虑心理干预组与焦虑常规组、非焦虑心理干预组与非焦虑常规组术前与术后1，7，14d促肾上腺皮质激素（ACTH）、皮质醇、CD3^＋、CD4^＋、CD8^＋、CD4^＋/CD8^＋的水平及SAS分值。结果焦虑心理干预组与焦虑常规组比较，术前和术后1d各指标差异无统计学意义；术后7，14d，焦虑心理干预组ACTH、皮质醇、SAS明显低于焦虑常规组，CD3^＋、CD4^＋、CD4^＋/CD8^＋明显高于焦虑常规组。非焦虑心理干预组与非焦虑常规组比较，术前与术后1，7，14d各项指标的差异均无统计学意义。结论采用心理咨询技术能促进肝癌焦虑患者术后神经内分泌激素及免疫功能的恢复，降低焦虑水平，但对非焦虑患者作用不明显。
Objective To explore the effect of psychological counseling techniques affected the neuroendocrine hormone and postoperative immune function to the preoperative anxiety in patient with Liver Cancer. Methods Assessed the patients with liver cancer using self-rating anxiety scale （SAS） and Screened with anxiety patients and non-anxiety patients. Then, the anxiety patients were divided into intervention group and conventional group and the non-anxiety patients were divided into intervention group and conventional group in accordance with the random packet sequence number. Compared with ACTH, cortisol , CD3 ^＋ , CD4 ^＋ , CD8 ^＋ , CD3 ^＋/CD4^＋, SAS in preoperative and postoperative 1, 7,14 days in anxiety intervention group and anxiety conventional group, non-anxiety intervention group and non-anxiety conventional group. Results Anxiety intervention group and anxiety conventional group were Compared, that there was no significant difference in preoperative and postoperative 1 days, the anxiety intervention group＇ s ACTH and cortisol and SAS were significantly lower than the anxiety conventional group in postoperative 7, 14 days, the anxiety intervention group,s CD3^＋ and CD4 and CD3^＋/CD4^＋ were significantly higher than the anxiety conventional group in postoperative 7,14 days（P 〈 0. 05 ）. Non-anxiety intervention group and non-anxiety conventional group were Compared that there was no significant difference in preoperative and postoperative 1, 7,14 days （P 〉 0. 05 ）. Conclusions Psychological counseling techniques were used can promote the postoperative recovery of neuroendocrine hormone and immune function to the preoperative anxiety in patient with Liver Cancer and that is no significantly to non-anxiety patients.
出处
《中华现代护理杂志》
2009年第24期2360-2364,共5页
Chinese Journal of Modern Nursing
基金
广西科学基金（桂科青0640040）广西研究生创新课题（2007105981002M20）
关键词
心理咨询
肝肿瘤
焦虑
肾上腺激素类
免疫
细胞
Psychological counseling
Liver neoplasms
Anxiety
Adrenal Cortex Hormones
Immunity, Cellular
