运用护理程序开展健康教育对首次行经导管肝动脉化疗栓塞肝癌患者负性情绪的影响

Influence of health education with nursing program on the negative emotions of liver cancer patients undergoing first transcatheter arterial chemoembolization

目的探讨运用护理程序开展健康教育对首次行经导管肝动脉化疗栓塞（TACE）肝癌患者的影响。方法将100例确诊为肝癌并拟行首次TACE的患者按照随机数字表法随机分为对照组和干预组各50例。对照组患者按常规护理，给予必要的解释和安慰，干预组在此基础上对患者运用护理程序进行评估，然后实施有针对性的健康教育，观察两组患者对健康知识的了解情况，同时采用焦虑自评量表（SAS）及抑郁自评量表（SDS）对患者心理状况进行测评。结果健康教育前，干预组患者对健康知识了解14例、不了解36例，对照组了解16例、不了解34例，差异无统计学意义（x^2=0．190，P〉0．05）；健康教育后，干预组患者对健康知识了解44例、不了解6例，对照组了解31例、不了解19例，差异有统计学意义（x^2=9．013，P〈0．05）。干预前，两组患者SAS、SDS评分差异无统计学意义（P〉0．05）；干预后，干预组患者SAS、SDS评分分别为（45．40±9．62），（38．80±8．01）分，对照组分别为（50．36±10．64），（43．08±10．81）分，两组比较差异均有统计学意义（t值分别为-2．445，～2．250；P〈0．05）。结论运用护理程序进行健康教育不仅可以提高患者的健康知识水平，而且可以减轻患者焦虑、抑郁水平，改善患者负性情绪。

Objective To investigate the influence of health education with nursing program in the hepatocelluIar carcinoma patients undergoing first transcatheter arterial chemoembolization（TACE）. Methods A total of 100 patients diagnosed with liver cancer and underwent first TACE were randomly divided into the control group and the experimental group, with 50 cases in each group. The patients in the control group received routine nursing and were given the necessary explanations and comfort, and the patients in the experimental group received targeted health education with nursing program on the basis of routine nursing. The health knowledge understanding level was observed in the two groups. Self-rating anxiety scale （SAS） and self-rating depression scale （SDS） were used to evaluate the psychological status of patients. Results Before the implementation of health education, fourteen patients understood about health knowledge and 36 patients understood less in the experimental group, while 16 patients and 34 patients in the control group, respectively, and the difference was not statistically significant （ ~2 = 0. 190, P 〉 0.05 ）. After the implementation of health education, totals of 44 patients understood about health knowledge and six patients understood less in the experimental group, while 31 patients and 19 patients in the control group, respectively, and the difference was statistically significant （x^2 =9. 013, P 〈0. 05 ）. Before file implementation of health education, there was no statistically significant difference between the two groups on the score of SAS and SDS （P 〉 0.05 ）. After the implementation of health education, the score of SAS and SDS was respectively （45.40± 9.62） and （38.80 ±8.01） in the experimental group, and （50. 36 ±10. 64） and （43.08 ±10. 81 ） in the control group, respectively, and the difference was statistically significant （ t = - 2. 445, - 2. 250, respectively ; P 〈 0.05 ）. Conclusions The application of health education with nursing program can improve the health knowledge of patients, relieve patients anxiety and depression, as well as improve their negative emotion.