责任制整体护理在原发性肝癌行介入治疗患者中的应用研究

Application of holistic nursing with responsibility system in interventional treatment of primary hepatocellular carcinoma

目的探讨责任制整体护理在原发性肝癌行介入治疗患者中的应用。方法选择我院于2017年1月至2019年1月期间收治的原发性肝癌介入治疗患者82例,采用随机数字表法随机分为对照组41例与观察组41例。对照组患者采用常规护理干预,观察组患者在对照组基础上结合责任制整体护理干预。比较两组介入前后焦虑和抑郁程度、生活质量改善,干预满意度及术后并发症。结果两组介入后抑郁自评量表(SDS)和焦虑自评量表(SAS)评分较介入前减少(P <0.05);观察组介入后SDS和SAS评分低于对照组(P <0.05)。两组介入后躯体功能、情绪功能、认知功能和整体生活质量较介入前增加(P <0.05);观察组介入后躯体功能、情绪功能、认知功能和整体生活质量评分高于对照组(P <0.05)。观察组干预总满意率(97.56%)高于对照组(78.05%)(P <0.05)。观察组术后并发症(9.76%)低于对照组(34.15%)(P <0.05)。结论责任制整体护理在原发性肝癌行介入治疗患者效果良好,可改善患者生活质量,减轻焦虑和抑郁情绪,减少术后并发症,值得临床借鉴。

Objective To explore the application of holistic nursing with responsibility system in patients with primary hepatocellular carcinoma undergoing interventional therapy.Methods The 82 patients with primary liver cancer treated by interventional therapy in our hospital from January 2017 to January 2019 were randomly divided into control group(41 cases)and observation group(41 cases).Patients in the control group received routine nursing intervention,while patients in the observation group received holistic nursing intervention based on the responsibility system.The degree of anxiety and depression,improvement of quality of life,satisfaction with intervention and complications before and after intervention were compared between the two groups.Results The scores of SDS and SAS in the two groups were lower than those before intervention(observation group:t=12.723,13.485,control group:t=8.842,6.802,P<0.05);the scores of SDS and SAS in the observation group were lower than those in the control group(t=6.450,9.524,P<0.05).The physical function,emotional function,cognitive function and overall quality of life of the two groups increased after intervention(observation group:t=23.296,23.185,15.406,22.592,control group:t=14.839,10.507,5.147,13.300,P<0.05);after intervention,the scores of physical function,emotional function,cognitive function and overall quality of life of the observation group were higher than those of the control group(t=14.187,12.976,10.347,13.819,P<0.05).The total satisfaction rate of the observation group(97.56%)was higher than that of the control group(78.05%)(P<0.05).Postoperative complications in the observation group(9.76%)were lower than those in the control group(34.15%)(P<0.05).Conclusion Responsible holistic nursing has a good effect in patients with primary hepatocellular carcinoma undergoing interventional therapy.It can improve the quality of life of patients,reduce anxiety and depression,and reduce postoperative complications.It is worthy of clinical reference.