社会目标模式随访管理对原发性肝癌肝动脉栓塞化疗患者社会关系质量的影响

Effects of follow-up management based on social goals model on social relation quality in hepatocellular carcinoma patients after TACE

目的：探讨基于社会目标模式的随访管理对原发性肝癌肝动脉介入术后患者社会关系质量的影响。方法2014年1月—2015年3月采用便利抽样法将113例原发性肝癌肝动脉栓塞化疗后患者按治疗时间分为对照组（ n＝56）和干预组（ n＝57），对照组以个案管理实施随访，干预组随访以社会目标模式为指导，应用社会关系质量量表评价两组的干预效果。结果干预后，干预组患者的社会关系质量总分及家庭亲密度、家庭付出或承担维度的得分分别为（53.60±8.86），（20.34±3.28），（18.07±2.96）分，高于对照组的（49.25±9.75），（18.52±3.55），（16.22±3.21）分，差异有统计学意义（P〈0.05）。结论基于社会目标模型的随访管理能够有效改善原发性肝癌肝动脉栓塞化疗后患者的家庭亲密度、家庭付出和承担，是改善社会关系质量一个有效途径。

Objective To inverstigate the effects of follow-up management based on social goals model on social relation quality in hepatocellular carcinoma patients after transcatheter arterial chemoebolization （TACE）.Methods By convenience sampling method, a total of 113 patients after TACE were divided into the control group （ n=56） and the intervention group （ n=57） according to the treatment time. In the control group, routine follow-up based on case-management was adopted, while in the intervention group, the follow-up based on social goals model was adopted. The intervention effect in two groups were tested by social relation quality scale.Results After intervention, the total score of social relation quality, score of family adaptability and score of family commitment were （53.60±8.86）,（20.34±3.28） and （18.07±2.96）, and they were all significantly higher than the scores in the control group [（49.25±9.75）,（18.52±3.55）,（16.22±3.21）]（P〈0.05）. Conclusions The follow-up management based on social goals model can effectively improve the level of family adaptability and family commitment. The intervention could be one of the effective ways to implement social relational quality fin patients after TACE.