中晚期肝癌患者行介入治疗后接受中西医结合护理的效果

Effect of nursing of integrated traditional Chinese and western medicine on advanced liver cancer patients after interventional therapy

目的探讨中西医结合护理对中晚期肝癌患者行介入治疗后的应用效果。方法选取2015年12月至2019年1月福建省肿瘤医院收治的58例行介入治疗的中晚期肝癌患者为研究对象。采用等距抽样法分为对照组和观察组,每组29例。对照组患者采用基础护理干预,观察组患者采用中西医结合护理干预联合基础护理干预。比较2组患者的数字分级评分法(NRS)评分、体温、并发症的发生率和生活质量。结果干预前,2组间NRS评分的差异无统计学意义(P>0.05);干预后,2组的NRS评分均低于同组干预前,且观察组的NRS评分低于对照组,差异均有统计学意义(P均<0.05)。介入治疗完成后首日,2组间体温的差异无统计学意义(P>0.05);介入治疗完成后3 d,2组的体温均低于同组介入治疗完成后首日,且观察组的体温低于对照组,差异均有统计学意义(P均<0.05)。干预前,2组间健康调查量表(SF-36)各维度评分的差异均无统计学意义(P均>0.05)。干预后,2组的SF-36各维度评分均高于同组干预前,且观察组均高于对照组,差异均有统计学意义(P均<0.05)。结论中西医结合护理应用于中晚期肝癌患者,可显著降低其介入治疗的不良反应发生率,缓解发热症状,减轻疼痛。

Objective To explore the effect of nursing of integrated traditional Chinese and western medicine on patients with advanced liver cancer after interventional therapy.Methods A total of 58 patients with advanced liver cancer treated with interventional therapy at Fujian Cancer Hospital from December 2015 to January 2019 were enrolled.They were divided into a control group and an observation group by equidistant sampling method,with 29 cases in each group.The control group was given basic nursing intervention,and the observation group was given the nursing intervention of integrated traditional Chinese and western medicine combined with basic nursing.The numerical rating scale(NRS)scores,body temperature,incidence of complications and quality of life were compared between the two groups.Results Before the intervention,there was no statistically significant difference in NRS scores between the two groups(P>0.05).After the intervention,the NRS scores of the two groups were lower than those before the intervention,and the NRS scores of the observation group were lower than those of the control group.The differences were statistically significant(all P<0.05).On the first day after interventional therapy,there was no statistically significant difference in body temperature between the two groups(P>0.05).Three days after interventional therapy,the body temperature of the two groups was lower than that on the first day after interventional therapy,and the body temperature of the observation group was lower than that of the control group.The differences were statistically significant(all P<0.05).Before the intervention,there were no statistically significant differences in the scores of each dimension of 36-item short form health survey(SF-36)between the two groups(all P>0.05).After the intervention,the scores of each dimension of SF-36 in the two groups were higher than those before the intervention,and the scores of the observation group were higher than those of the control group.The differences were statistically significant(all P<0.05).Conclusion The application of nursing of integrated traditional Chinese and western medicine in patients with advanced liver cancer can significantly reduce the incidence of adverse reaction of interventional therapy,and relieve fever and pain.