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目的探讨医患共同参与医疗决策对胃癌术后机体恢复的影响,为癌症患者术后机体恢复提供治疗方案。方法选取符合入选标准的研究对象80例,分为试验组和对照组,各40例,试验组采取医患共同参与治疗决策,对照组按照医疗常规治疗,分析术后患者生理和心理恢复情况。结果试验组SCL-90各项评分及生理功能恢复相关指标均明显好于对照组,差异均有统计学意义(P<0.01)。试验组患者术后排气时间([43.5±5.1)h]、术后排便时间([56.3±8.9)h]、下床时间([68.6±17.3)h]明显短于对照组[分别为(68.8±9.3)、(86.5±11.4)、(89.7±21.2)h],差异均有统计学意义(P<0.05)。试验组手术后CD3+(47.66%±11.42%)、CD8+(34.71%±12.44%)、CD4+/CD8+(1.829%±0.51%)均较对照组分别为(37.12%±12.23%、22.19%±11.52%、1.07%±0.41%)高,差异均有统计学意义(P<0.05)。结论医患共同参与医疗决策有利于胃癌患者术后机体恢复。
Objective To explore the influence of doctors and patients participating in medical decision-making on the recovery of postoperative gastric cancer patients and to provide a therapeutic plan for postoperative recovery of cancer patients. Methods 80 eligible patients were selected and divided into experimental group and control group, 40 cases in each group. Patients in trial group were treated by both physician and patient, while those in control group were treated according to medical routine. The recovery of physiology and psychology was analyzed. Results All the indexes of SCL-90 score and physiological function recovery in the experimental group were significantly better than those in the control group, with significant differences (P <0.01). The postoperative exhaust time ([43.5 ± 5.1] h], postoperative defecation time (56.3 ± 8.9 h) and ambulation time (68.6 ± 17.3 h) in the experimental group were significantly shorter than those in the control group 68.8 ± 9.3), (86.5 ± 11.4) and (89.7 ± 21.2) h, respectively. The difference was statistically significant (P <0.05). Compared with the control group, the percentage of CD3 + (47.66% ± 11.42%), CD8 + (34.71% ± 12.44%) and CD4 + / CD8 + in the experimental group were (37.12% ± 12.23%, 22.19% ± 11.52% , 1.07% ± 0.41%), the differences were statistically significant (P <0.05). Conclusion The common participation of doctors and patients in medical decision-making is conducive to the recovery of postoperative patients with gastric cancer.