肝癌破裂出血院前急救介入手术的护理服务剧本模式效果观察

Observation of the Effect of the Script Mode of Nursing Service of Liver Cancer Tumor Rupture and Hemorrhage,Pre-hospital Emergency Interventional Surgery

目的探索对于肝癌破裂出血行急诊介入手术中,采取护理服务剧本模式的应用效果。方法选取2021年1月至2024年1月遵义医科大学附属医院收治的急诊行介入手术的120例肝癌破裂出血者,根据护理方式不同分为观察组(护理服务剧本)和对照组(常规护理),每组60例,对两组患者的手术情况、不良情绪、生活质量和满意度进行对比。结果观察组患者术中出血量显著少于对照组(P<0.001)。干预前,两组患者SAS、SDS评分,心理功能、情绪功能、生理功能、社会功能评分均无显著差异(P>0.05);干预后,观察组SAS评分和SDS评分均显著低于对照组(P<0.001),生活质量评分显著高于对照组(P<0.001)。观察组患者护理满意度为96.67%(58/60),显著高于对照组的80.00%(48/60)(P<0.05)。结论肝癌破裂出血急诊介入手术中采取护理服务剧本模式,可有效减少术中出血量,提高护理满意度,有利于患者术后恢复。

Objective To explore the application effectiveness of a nursing care script model in emergency interventional surgery for ruptured hepatocellular carcinoma bleeding.Methods 120 patients undergoing emergency interventional surgery for ruptured hepatocellular carcinoma bleeding from January 2021 to January 2024 at our hospital were selected.Patients were divided into the observation group(nursing care script model)and the control group(routine care),with 60 patients in each group.Surgical outcomes,emotional distress,quality of life,and satisfaction were compared between the two groups.Results The intraoperative blood loss in the observation group was significantly less than that in the control group(P<0.001).Prior to intervention,there were no significant differences between the observation and control groups in SAS and SDS scores,as well as scores for psychological,emotional,physiological,and social functioning(P>0.05).After intervention,SAS and SDS scores in the observation group were significantly lower than those in the control group(P<0.001),and the scores in all four dimensions of quality of life were significantly higher in the observation group compared to the control group(P<0.001).Patient satisfaction in the observation group was 96.67%(58/60),significantly higher than that(80.00%,48/60)in the control group(P<0.05).Conclusion Adopting a nursing care script model in emergency interventional surgery for ruptured hepatocellular carcinoma bleeding effectively reduces intraoperative blood loss,improves nursing satisfaction,and facilitates postoperative recovery for patients.