基于聚焦解决模式的护理干预对肝癌射频消融术患者的影响

Effect of nursing intervention based on solution focused approach on patients with liver cancer radiofrequency ablation

目的探讨基于聚焦解决模式的护理干预对肝癌射频消融术患者的影响。方法选取2017年9月至2018年8月我院收治的肝癌择期行射频消融术85例患者为研究对象,按照随机数字表法分为研究组42例和对照组43例,对照组采用常规护理,研究组实施基于聚焦解决模式的护理干预。比较两组患者危机状况、应对方式及疼痛情况。结果术后第7天研究组患者危机各维度评分均低于对照组,差异有统计学意义(P<0.05);术后第7天研究组患者应对方式优于对照组,差异有统计学意义(P<0.05);术后24,48h研究组疼痛评分均低于对照组,差异有统计学意义(P<0.05)。结论基于聚焦解决模式的护理干预可有效改善肝癌射频消融术患者危机处理能力、应对方式和疼痛控制效果,提高其主动参与能力,值得临床推广应用。

Objective To explore the effect of nursing intervention based on solution focused approach on patients with liver cancer radiofrequency ablation. Methods To select 85 cases of patients who underwent radiofrequency ablation of liver cancer in our hospital from September 2017 to August 2018 as the study subjects. According to the random number table method, 42 patients were selected in the study group and 43 patients were selected in the control group. The control group was given routine nursing, while the study group was implemented by nursing intervention based on solution focused approach. The crisis status, coping style and pain status of the two groups were compared. Results On the 7th day after surgery, the each dimension scores of crisis in the study group were lower than those in the control group,and the difference was statistically significant( P <0.05). On the 7th day after surgery, the coping style in the study group was better than that in the control group,and the difference was statistically significant( P <0.05).The pain scores of the study group were lower than those of the control group at 24 hours and 48 hours after operation,and the difference was statistically significant( P <0.05). Conclusion Nursing intervention based on resolution focused approach can improve the crisis management ability, coping style and pain control effect of patients with liver cancer radiofrequency ablation effectively. Meanwhile, it also can improve their active participation ability,which was worthy of clinical promotion and application.