激励式护理对肝癌患者行肝动脉灌注化疗栓塞术后生存质量的影响

Effect of Incentive Nursing on Quality of Life in Patients with Liver Cancer After Transcatheter Hepatic Arterial Chemoembolization

目的:探讨激励式护理对肝癌患者行肝动脉灌注化疗栓塞术后生存质量的影响。方法:选取2017年9月-2020年8月北京朝阳医院收治的行肝动脉灌注化疗栓塞肝癌患者88例,按不同护理方法将其分为对照组和观察组,各44例。对照组给予常规护理,观察组给予激励式护理。对比两组护理前、护理2个月后的生活质量评分、焦虑、抑郁评分(SAS、SDS评分),以及护理后的满意度。结果:护理后2个月,观察组生活质量明显高于对照组,观察组SAS、SDS评分低于对照组,差异均有统计学意义(P<0.05)。观察组护理后满意度为97.73%,对照组满意度为79.55%,观察组明显高于对照组,差异有统计学意义(P<0.05)。结论:对肝癌患者行肝动脉灌注化疗栓塞术后应用激励式护理,可有效改善患者负性情绪和术后生存质量,利于提高患者的护理满意度。

Objective:To explore the effect of incentive nursing on the quality of life of patients with liver cancer after transcatheter hepatic arterial chemoembolization.Methods:A total of 88 patients with liver cancer undergoing transcatheter hepatic arterial chemoembolization in Beijing Chaoyang Hospital between September 2017 and August 2020 were selected.They were divided into control group and observation group according to different nursing methods,with 44 cases in each group.The control group was given routine nursing,and the observation group was given incentive nursing.The quality of life scores,self-rating anxiety scale(SAS)and self-rating depression scale(SDS)scores before and 2 months after nursing,as well as the satisfaction after nursing was compared between the two groups.Results:At 2 months after nursing,the quality of life in the observation group was significantly higher than that in the control group,the SAS and SDS scores of the observation group were lower than those of the control group,with statistically significant difference(P<0.05).The post-nursing satisfaction of the observation group was 97.73%,and that of the control group was 79.55%,the observation group was significantly higher than the control group with statistically significant difference(P<0.05).Conclusion:The application of incentive nursing after transcatheter hepatic arterial chemoembolization in patients with liver cancer can effectively improve patients'negative emotion and postoperative quality of life,and improve patients'nursing satisfaction.