全程健康访视在经导管动脉化学栓塞术治疗肝癌中的应用效果

Effect of full-term health visit on TACE in the treatment of hepatocellular carcinoma

目的探讨全程健康访视在经导管动脉化学栓塞(TACE)术治疗肝癌中的应用效果。方法选取2015年12月至2017年1月间山东省交通医院收治的86例肝癌患者进行回顾性分析。采用全程健康方式护理的43例肝癌患者纳入观察组,采用常规护理的43例肝癌患者纳入对照组,比较两组患者对疾病相关知识的了解程度、术后疼痛情况、术后48h生活质量及出院后6个月的依从性和满意度。结果干预后,观察组患者疾病相关知识评分(94.5±3.9)分,高于对照组的(73.6±6.4)分,差异有统计学意义(P<0.01)。术后,两组患者的疼痛比较,差异无统计学意义(P>0.05);术后12h、24h和48h,观察组患者的疼痛评分分别为(3.9±1.2)分、(2.6±1.1)分和(1.5±0.8)分,均低于对照组的(5.4±1.3)分、(4.1±1.5)分和(3.2±1.4)分,差异均有统计学意义(均P<0.01)。观察组患者睡眠质量(4.6±0.3)分、精神状态(4.2±0.6)分和食欲(4.6±0.5)分,均高于对照组的(3.9±0.4)分、(3.4±0.5)分和(4.1±0.4)分,差异均有统计学意义(均P<0.01)。观察组患者出院后的服药依从性和戒烟、戒酒、监测血压及适量运动的依从性均高于对照组患者,差异均有统计学意义(均P<0.05)。观察组患者满意度为97.7%,高于对照组的79.1%,差异有统计学意义(P<0.05)。结论全程健康访视应用于TACE术治疗肝癌中,可有效提升患者疾病相关知识的掌握程度,缓解疼痛,改善生活质量,提升患者的依从性和满意度,值得临床推广。

Objective To explore the effect of full-term health visit on transarterial chemoembolization（ TACE） in the treatment of liver cancer. Methods A total of 86 patients with hepatocellular carcinoma treated at Shandong Provincial Third Hospital from December 2015 to January 2017 were selected and randomly divided into an observation group and a control group with 43 patients in each group. The observation group received full-term health visit and the control group was given routine nursing care. The knowledge on relevant disease,postoperative pain,quality of life at 48 h after the operation,compliance and satisfaction at 6 months after discharge were compared between the two groups. Results After intervention,the disease-related knowledge score was（ 94. 5 ± 3. 9） in the observation group which was higher than（ 73. 6 ± 6. 4） of the control group（ P〈 0. 01）. At 0 h after surgery,the difference in pain between the two groups was not statistically significant. At 12 h,24 h,and 48 h after the operation,the pain scores were（ 3. 9 ± 1. 2）,（ 2. 6 ± 1. 1） and（ 1. 5 ± 0. 8） in the observation group which were significantly lower than（ 5. 4 ± 1. 3）,（ 4. 1 ± 1. 5） and（ 3. 2 ± 1. 4） in the control group（ all P〈 0. 01）. Sleep quality（ 4. 6 ±0. 3）,mental status（ 4. 2 ± 0. 6）,and appetite（ 4. 6 ± 0. 5） in the observation group were significantly higher than（ 3. 9 ± 0. 4）,（ 3. 4 ± 0. 5）,and（ 4. 1 ± 0. 4） of the control group,respectively（ all P〈 0. 01）. In the observation group,the adherence to medication,smoking cessation,abstinence,blood pressure monitoring,and compliance to exercise at 6 months were significantly higher than those in the control group（ all P〈 0. 05）. The satisfaction rate of was 97. 7% for the observation group which was higher than79. 1% of the control group（ P〈 0. 05）. Conclusion Full-term health visit applied in TACE for liver cancer can effectively increase disease-related knowledge,relieve pain,and improve quality of life,patients＇ compliance and satisfaction,and it is worthy to be popularized.