综合护理干预对肝细胞肝癌患者TACE后疼痛、生活质量及满意度的影响

Effect of comprehensive nursing intervention on post-TACE pain,quality of life and satisfaction in patients with hepatocellular carcinoma

目的:分析综合护理干预对肝细胞肝癌(HCC)患者经导管动脉化疗栓塞术(TACE)后疼痛、生活质量及满意度的影响。方法:选择2017年7月至2018年7月期间,于该院行TACE治疗的110例中晚期HCC患者为护理研究对象,以患者住院号尾号奇偶数为依据分为对照组和研究组,每组55例。对照组患者实施常规护理,研究组患者实施综合护理干预措施,护理干预后对比两组患者的疼痛状况、生活质量以及护理满意度。结果:护理干预后两组患者生活质量评价对比,研究组患者睡眠质量、饮食状况、心理状况、生活能力以及对疾病的认知评价均高于对照组,两组相比差异有统计学意义(均P<0.05)。护理干预后,两组患者疼痛程度评价对比,研究组0级2例(3.64%),Ⅰ级32例(58.18%),Ⅱ级17例(30.91%),Ⅲ级4例(7.27%),对照组0级1例(1.82%),Ⅰ级22例(40.00%),Ⅱ级23例(41.82%),Ⅲ级9例(16.36%),各等级对比,差异均有统计学意义(均P<0.05)。护理干预后,两组患者护理满意度对比,研究组一般满意9例,满意14例,非常满意29例,护理满意率为94.55%;对照组一般满意12例,满意16例,非常满意19例,护理满意率为85.45%,两组相比,研究组护理满意度更高,差异有统计学意义(P<0.05)。结论:综合护理干预对HCC患者TACE后疼痛有显著的改善效果,同时能够提升患者的生活质量,增加患者的护理满意度。

Objective To investigate the effects of comprehensive nursing intervention on pain,quality of life and satisfaction after transcatheter arterial chemoembolization(TACE)for HCC patients.Methods From July 2017 to July 2018,110 patients with advanced HCC treated by TACE in the hospital were selected as nursing study subjects,and were divided into control group and study group based on the odd number at the end of the patient's admission number,with 55 patients in each group.Patients in the control group were given routine nursing,and patients in the study group were given comprehensive nursing intervention.After nursing intervention,the pain status,quality of life and nursing satisfaction of patients in the two groups were compared.Results After nursing intervention,the quality of life evaluation of the two groups of patients compared,the study group patients sleep quality,diet,psychological status,life ability and cognitive evaluation of the disease were higher than the control group,the difference between the two groups had statistical significance(P<0.05).After nursing intervention,the pain degree of the two groups was compared.The study group had grade 02 cases(3.64%),gradeⅠ32 cases(58.18%),gradeⅡ17 cases(30.91%),gradeⅢ4 cases(7.27%),the control group had grade 01 case(1.82%),gradeⅠ22 cases(40.00%),gradeⅡ23 cases(41.82%),gradeⅢ9 cases(16.36%),there were statistically significant differences among all grades(P<0.05).After nursing intervention,the nursing satisfaction of the two groups was compared.The study group was generally satisfied with 9 cases,14 cases were satisfied,29 cases were very satisfied,the nursing satisfaction rate was 94.55%,the control group was generally satisfied with 12 cases,16 cases were satisfied,and 19 cases were very satisfied.The nursing satisfaction rate was 85.45%.Compared with the two groups,the nursing satisfaction of the study group was higher,and the difference was statistically significant(P<0.05).Conclusions Comprehensive nursing intervention can significantly improve the pain after TACE in patients with HCC,and can improve the quality of life of patients and increase the satisfaction of patients.