综合护理干预在原发性肝癌患者CT引导微波消融术中的应用效果分析

Analysis of Comprehensive Nursing Intervention in CT-guided Microwave Ablation in Patients with Primary Liver Cancer

目的:分析综合护理干预在原发性肝癌患者CT引导微波消融术中的应用效果。方法:选取2020年1—12月驻马店市中心医院肝胆外科接受CT引导下微波消融术的116例患者作为研究对象,随机分为对照组及研究组,每组各58例。对照组于围术期给予常规护理,研究组则采取综合护理干预。观察并统计两组患者疼痛情况、恢复情况及生活质量。结果:研究组术中、术后6 h、术后24 h、术后72 h VAS评分均显著低于对照组,差异有统计学意义(t=1.652、2.358、5.801、3.224、7.702,P<0.05)。研究组术后住院时间、下床活动时间、主动进食时间较对照组显著缩短,PSQI评分显著低于对照组,差异有统计学意义(t=3.169、2.670、2.789、2.440,P<0.05)。研究组生活质量量表各维度评分均显著高于对照组,不良反应发生率显著低于对照组,差异有统计学意义(t=2.815、4.785、4.752、2.879、2.711,χ^(2)=3.940、5.098、4.833,P<0.05)。结论:在原发性肝癌患者CT引导微波消融术围术期实施综合护理干预,可更加有效控制患者术后疼痛,减少不良反应发生率,促进患者康复,改善患者整体生活质量。

Objective: To analyze the application effect of comprehensive nursing intervention in CT-guided microwave ablation in patients with primary liver cancer. Methods: A total of 116 patients who underwent CT-guided microwave ablation in the hospital from January 2020 to December 2020 were selected as the research objects, and they were randomly divided into the control group of 58 cases and the study group of 58 cases. The patients in the control group were given routine nursing care during the perioperative period, while the patients in the research group were given comprehensive nursing intervention. The pain, recovery and quality of life of the two groups were observed and counted. Results: The VAS scores of the patients in the study group were significantly lower than those in the control group during operation, 6 h, 24 h, and 72 h after operation, and the differences were statistically significant(t=1.652, 2.358, 5.801, 3.224, 7.702, P<0.05). The postoperative hospital stay, time to get out of bed, and active eating time in the study group were shorter than those in the control group, and the PSQI score was significantly lower than that in the control group, with statistically significant differences(t=3.169, 2.670, 2.789, 2.440, P<0.05). The scores of the quality of life scale of the patients in the study group were significantly higher than those in the control group, and the incidence of adverse reactions was significantly lower than that in the control group, and the differences were statistically significant(t=2.815,4.785, 4.752, 2.879, 2.711, χ^(2)=3.940, 5.098, 4.833, P<0.05). Conclusion: Comprehensive nursing intervention in the perioperative period of CT-guided microwave ablation in patients with primary liver cancer can more effectively control the postoperative pain, reduce the incidence of adverse reactions, promote the recovery of patients, and improve the overall quality of life of patients,which is worthy of clinical application.