循证护理干预对肝癌患者介入术后并发症及生活质量的影响

Evidence-based Nursing Intervention in Patients with Liver Cancer Interventional Postoperative Complications and the Impact of Quality of Life

目的分析肝癌患者介入术后实施循证护理干预措施对其术后并发症及生活质量的影响。方法方便选取2015年1月—2017年5月期间在该院就诊的120例肝癌介入手术患者根据不同的护理干预方式随机分为实验组(60例,实施循证护理干预)以及对照组(60例,实施常规护理干预),通过抑郁自评量表(SDS)、焦虑自评量表(SAS)、生命质量测定表分别评价两组患者抑郁、焦虑状况以及生活质量状况,对比两组患者介入术后并发症发生率以及介入手术前后SDS评分、SAS评分、生活质量评分变化情况。结果实验组肝功能衰竭率(1.7%)、术后出血率(16.7%)、发热(3.3%)、疼痛(6.7%)显著低于对照组8.3%、38.3%、13.3%、16.7%,实验组患者介入术后SAS评分(45.61±7.91)分、SDS评分(46.59±9.91)分更低于对照组,比较差异有统计学意义(P<0.05);实验组患者术后躯体功能(72.79±4.01)分、角色功能(77.29±7.72)分、生活质量(77.09±5.09)分、社会功能(77.57±8.29)分、情绪功能(73.78±6.68)分更高于对照组(P<0.05)。结论肝癌介入术后患者实施循证护理干预,可有效降低患者术后并发症发生率,缓解患者负面情绪,提高患者生活质量,值得广泛推广。

objective This paper tries to analyze of patients with liver cancer after interventional evidence-based nursing intervention measures of the postoperative complications and the influence of the quality of life. Methods 120 patients with liver cancer interventional surgery from January 2015 and May 2017 in this hospital were convenient selected and according to the different way of nursing intervention, they were randomly divided into the experimental group（60 cases, the imple-mentation of evidence-based nursing intervention） and the control group（60 cases, implementing routine nursing intervention）, through self-evaluation depression scale（SDS）, self-evaluation of anxiety scale（SAS） and the measurement of quality of life table, depression, anxiety and the quality of life conditions were respectively evaluated between the two groups of patients, and the interventional postoperative complications, and scores of SDS and SAS scores before and after operation, the quality of life score of the two groups were compared. Results Liver failure rate in the experimental group was 1.7%, postoperative bleeding rate was 16.7%, fever was 3.3%, pain was 6.7%, significantly lower than the control group of 8.3%,38.3%, 13.3%, 16.7%. The SAS score was（45.61±7.91）points and SDS score was（46.59±9.91）points, lower than that in the control group（P〈0.05）. The postoperative physical function was（72.79±4.01）points, role function was（77.29±7.72）points, the quality of life was（77.09±5.09）points, the social function was（77.57±8.29）points and the emotional function was（73.78±6.68）points, higher than those in the control group（P〈0.05）. Conclusion Patients with hepatocellular carcinoma after interventional, evidence-based nursing intervention can effectively reduce the incidence of postoperative complications, ease patients＇ negative mood, improve their quality of life, so it is worth popularizing widely.