Abstract

In order to explore the clinical effect of psychological nursing intervention on postoperative chemotherapy for rectal cancer, 120 cases of rectal cancer patients were selected as the research subjects. The control group received conventional nursing treatment after operation, and the research group received comprehensive psychological nursing intervention on this basis. The self-rating anxiety scale (SAS) scores, self-rating depression scale (SDS) scores, hope level scores, nursing satisfaction, mental state changes, treatment compliance, and immune function of two groups were analyzed and compared. There was no significant difference between the two groups of patients in the preoperative SAS, SDS, and hope level scale scores. After the intervention, postoperative SAS and SDS scores and CD8+ value of the research group were significantly lower than those of the control group. In contrast, the postoperative hope level score, treatment compliance, and postoperative CD4+/CD8+ of the research group were significantly higher, and the nursing satisfaction was better than that of the control group. The application of psychological nursing intervention in postoperative chemotherapy for patients with rectal cancer can effectively relieve anxiety and depression of patients, promote patients to establish a healthy and coordinated mental state, improve treatment compliance, improve immune function, and promote disease recovery.

Highlights

  • Rectal cancer is a relatively common type of gastrointestinal malignant tumor, which has clinical treatment difficulties such as high incidence, difficult operation, and many postoperative complications [1]

  • According to the latest global cancer burden data released by the International Agency for Research on Cancer (IARC) of the World Health Organization in 2020, more than 1.93 million people worldwide were diagnosed with colorectal cancer in 2020, and the cumulative number of deaths reached 930,000 cases, which confirmed that the mortality rate of colorectal cancer ranks third in the mortality rate of malignant tumors [2]. e induction of rectal cancer is caused by many life factors and genetic factors [3]

  • A colon-abdominal stoma changes the patients’ normal defecation method, and patients are prone to negative emotions such as depression and anxiety after surgery [7]

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Summary

Introduction

Rectal cancer is a relatively common type of gastrointestinal malignant tumor, which has clinical treatment difficulties such as high incidence, difficult operation, and many postoperative complications [1]. E induction of rectal cancer is caused by many life factors and genetic factors [3] Factors such as high protein, high fat, low fiber, low vitamins, and excessive intake of sulfite compounds, obesity, and related family genetic diseases are all important factors that promote the induction of rectal cancer [4, 5]. Surgical treatment is still the first choice for the treatment of rectal cancer [6]; the stoma (Mile surgery) combined with abdominal perineal resection is often used for patients with low rectal cancer. A colon-abdominal stoma changes the patients’ normal defecation method, and patients are prone to negative emotions such as depression and anxiety after surgery [7]. Studies have shown that negative emotions such as depression and anxiety affect the immune system, manifested as immunosuppression, and its state is related to tumor growth, metastasis, and other

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