预见性护理干预在原发性肝癌肝动脉化疗栓塞术患者中的应用

Application of Predictive Nursing Intervention in Patients Undergoing Hepatic Artery Chemoembolization for Primary Liver Cancer

目的探究预见性护理干预在原发性肝癌肝动脉化疗栓塞术(transcatheter arterial chemoembolization,TACE)患者中的应用效果。方法随机选取该院2018年2月—2019年2月收治的进行肝动脉化疗栓塞术的80例原发性肝癌患者为研究对象,采用随机数表法分为两组,对照组(n=40)进行TACE围术期常规护理干预,研究组(n=40)运用预见性护理模式进行干预。通过SAS和SDS量表评估患者负性情绪,QLQ-C30量表评估生活质量;对比两组并发症。结果干预前,两组患者各指标评分对比差异无统计学意义(P>0.05);干预后3、7 d,研究组SAS评分分别为(47.33±3.60)分、(36.51±3.18)分,SDS评分分别为(48.29±4.18)分、(37.62±3.16)分,均低于对照组,差异有统计学意义(t=13.945、18.324、11.201、15.463,P<0.05)。研究组并发症发生率为10.00%低于对照组的30.00%,差异有统计学意义(χ^(2)=5.000,P=0.025)。研究组干预后QLQ-C30评分明显高于对照组,差异有统计学意义(P<0.05)。结论对原发性肝癌肝动脉化疗栓塞术患者进行预见性护理干预,可有效缓解患者的焦虑、抑郁情绪,减少术后各种并发症的发生,改善患者生活质量。

Objective To explore the effect of predictive nursing intervention in patients with primary liver cancer undergoing transcatheter arterial chemoembolization(TACE).Methods 80 patients with primary liver cancer who underwent transcatheter arterial chemoembolization in the hospital from February 2018 to February 2019 were randomly selected as the research objects.They were randomly divided into two groups,The control group(n=40)received TACE perioperative routine nursing intervention,and the study group(n=40)used predictive nursing model to intervene.The patients'negative emotion was evaluated by SAS and SDS scale,the quality of life was evaluated by QLQ-C30 scale,and the complications of the two groups were compared.Results Before intervention,There was no statistically significant difference in the scores of each index between the two groups(P>0.05);after 3 d and 7 d of intervention,the SAS scores of the study group were(47.33±3.60)points,(36.51±3.18)points and SDS scores were(48.29±4.18)points and(37.62±3.16)points,respectively,which were lower than those of the control group,and the difference was statistically significant(t=13.945,18.324,11.201,15.463,P<0.05).The incidence of complications in the study group was 10.00%,which was significantly lower than 30.00% in the control group,and the difference was statistically significant(χ^(2)=5.000,P=0.025).The QLQ-C30 score in the study group was significantly higher than that in the control group after intervention,and the difference was statistically significant(P<0.05).Conclusion Predictive nursing intervention for patients undergoing hepatic arterial chemoembolization for primary liver cancer can effectively relieve anxiety and depression of patients,reduce the occurrence of various postoperative complications,and improve the quality of life of patients.