针对性护理干预对肝癌介入治疗患者疼痛和胃肠道反应的影响

Effects of targeted nursing intervention on pain and gastrointestinal reaction of patients with interventional therapy for liver cancer

目的探讨针对性护理干预对肝癌介入治疗患者疼痛和胃肠道反应的影响效果。方法选取80例肝癌介入治疗患者随机分为2组,对照组采用常规护理,实验组则加施针对性护理干预,比较2组患者干预前后焦虑与疼痛程度、胃肠道相关临床指标与睡眠时间、治疗期间不良事件与止痛药使用情况、家属护理满意度等。结果干预后,实验组患者S-AI与VAS评分显著低于对照组,差异有统计学意义(P<0.01);实验组患者肠鸣音恢复时间、首次排气时间、首次排便时间与下床时间显著短于对照组,睡眠时间显著长于对照组,差异有统计学意义(P<0.01);实验组患者恶心呕吐、腹胀便秘、咽喉不适发生率低于对照组,差异有统计学意义(P<0.05);实验组止痛药使用率显著低于对照组,差异有统计学意义(P<0.01);实验组患者护理满意度显著优于对照组,差异有统计学意义(P<0.01)。结论针对性护理干预对肝癌介入治疗患者疼痛和胃肠道反应的影响效果显著,可提高满意度,具有借鉴性。

Objective To explore the effects of targeted nursing intervention on pain and gastrointestinal reaction of patients with interventional therapy for liver cancer. Methods A total of 80 patients with interventional therapy for liver cancer were randomly divided into two groups. Control group was treated by routine nursing, while the experimental group was treated with targeted nursing intervention. Anxiety and pain degrees, gastrointestinal-related clinical indicators and sleep time, ad- verse events during treatment and medication use, satisfaction degree of family members were com- pared between two groups. Results In the experimental group, scores of S-AI and VAS after inter- vention were significantly lower than the control group （P 〈 0.01 ）. In the experimental group, the bowel sound recovery time, the first exhaust time, the first defecation time and bed time were signifi- cantly shorter than the control group, and sleeping time was significantly longer than control group （P 〈 0.01 ）. In the experimental group, the incidence rates of complications such as nausea and vom- iting, abdominal distension and constipation, throat discomfort were significantly lower than those in the control group （ P 〈 0.05 ）. Painkillers utilization rate in the experimental group was significantly lower than the control group （P 〈 0.01 ）. Nursing satisfaction degree of experimental group was signif- icantly better than that of control group （P 〈 0.01 ）. Conclusion Targeted nursing intervention can effectively alleviate the pain and gastrointestinal reaction in patients with interventional therapy for liv- er cancer, and it can improve the satisfaction degree.