目的 探讨分级护理与自我管理联合应用对胃癌根治术后癌因性疲乏与感染的影响。方法 选择2016年1月-2016年12 月于我院行胃癌根治术的患者104例，以随机数字表分组，将其分为对照组与研究组各52例。对照组采取常规护理 干预，研究组在此基础上应用分级护理与自我管理联合干预。结果 研究组术后癌因性疲乏率为67.71%，低于对照 组84.62%(P<0.05)。研究组术后感染率为1.92%，低于对照组15.38%(P<0.05)。结论 分级护理与自我管理对胃癌根 治术后癌因性疲乏与感染具有显著的改善作用，效果显著，适于推广。

Objective To explore the effect of combined application of graded nursing and self-management on cancer-related fatigue and infection after radical gastrectomy. Methods 104 patients with radical gastrectomy from January 2016 to December 2016 were randomly divided into control group and study group (n=52). The control group were received routine nursing intervention, the study group on the basis of the application of hierarchical care and self-management joint intervention. Results The rate of cancerous dysplasia was 67.71% in the study group, which was lower than that in the control group (84.62%, P<0.05). The postoperative infection rate was 1.92% in the study group, which was lower than that in the control group (15.38%, P <0.05). Conclusion Hierarchical nursing and self-management have significant effect on cancer-related fatigue and infection after radical gastrectomy. The effect is remarkable and suitable for popularization.