优质护理联合营养支持对肝脏肿瘤切除术患者的效果观察

Efficacy of quality nursing combined with nutritional support in resection for liver tumors

目的探讨肝脏肿瘤切除术患者实施优质护理联合营养支持的临床价值。方法选取2016年3月至2017年8月间四川省德阳市人民医院收治的行肝脏肿瘤切除术治疗的96例肝脏肿瘤患者,采用等距随机抽样法分为对照组(常规护理)及观察组(优质护理联合营养支持),每组48例,对两组患者临床护理效果进行比较。结果观察组胆漏、腹水及肝功能一过性异常并发症发生率低于对照组,差异有统计学意义(P<0.05);护理前,观察组总蛋白、白蛋白和血红蛋白水平与对照组比较,差异无统计学意义(P>0.05);护理后,观察组总蛋白、白蛋白和血红蛋白水平高于对照组,组间比较,差异有统计学意义(P<0.05);护理前,观察组患者抑郁评分、焦虑评分与对照组比较,差异无统计学意义(P>0.05);护理后,观察组患者抑郁评分、焦虑评分均明显低于对照组,组间比较,差异有统计学意义(P<0.05);护理后,观察组躯体功能、躯体角色、躯体疼痛、总健康、生命力、社会功能、情感角色和心理健康得分均明显高于对照组,组间比较,差异有统计学意义(P<0.05)。结论实施优质护理联合营养支持肝脏肿瘤切除术患者有助于降低并发症发生率,改善患者负性心理状态、营养状态及预后,可作为优选护理方案推广使用。

Objective To analyze the efficacy of quality nursing combined with nutritional support in resection for liver tumors. Methods Using isometric random sampling method,96 patients undergoing resection for liver tumors at Deyang People＇s Hospital from March 2016 to August 2017 were randomly divided into an observation group（ quality nursing combined with nutritional support） and a control group（ routine nursing） with 48 patients in each group. Clinical nursing efficacy were compared between the two groups. the. Results The incidence of complications including bile leakage,ascites and incident hepatic dysfunction was higher in the observation group than in the control group（ P〈0. 05）. Before nursing,there was no statistically significant difference in the overall protein,albumin and hemoglobin levels between the two groups（ P〉0. 05）. After nursing,the levels of overall protein,albumin and hemoglobin were higher in the observation group than in the control group（ P〈0. 05）. Before nursing,there was no statistically significant difference in depression and anxiety scores（ P〉0. 05）. After nursing,the depression and anxiety scores were lower in the observation group than in the control group（ P〈0. 05）. After nursing,the quality of life,physical function,physical role,physical pain,general health,vitality,social function,emotional role and mental health were significantly higher in the observation group than in the control group（ P〈0. 05）. Conclusion Quality nursing combined with nutritional support can help to reduce the incidence of complications,improve the negative psychological status,nutritional status and prognosis in patients undergoing resection for liver tumors. It can become the preferred care program.