综合干预对肝动脉灌注化疗栓塞患者生活质量的影响  

Effect of comprehensive intervention on the life quality of patients with hepatic arteriel chemoembolization

作　　者：殷爱娣[1] 刘青[1] 黄芳[1] 梁爱梅[1] 

机构地区：[1]河南省焦作市第二人民医院介入中心,454000

出　　处：《中国实用医刊》2012年第3期64-66,共3页Chinese Journal of Practical Medicine

摘　　要：目的探讨综合护理干预对肝动脉灌注化疗栓塞患者疗效及生活质量的影响。方法将200例患者随机分为两组：肝动脉灌注化疗栓塞治疗组100例，肝动脉灌注化疗栓塞治疗＋综合护理组100例，针对患者不同的心理状况及术后出现的并发症采取积极有效的护理干预方法，发放患者生活质量调查表，调查患者生活质量情况。结果治疗3个月后，治疗组100例患者中的65例肿块较术前明显缩小，肝功能恢复良好；35例有新增病灶，要求第二次介入灌注栓塞治疗。治疗＋综合护理组100例患者中的85例肿块较术前明显缩小，肝功能恢复良好，患者对治疗疾病的信心提高，生活自理能力及社会适应能力明显提高。结论肝动脉灌注化疗栓塞术疗效肯定，能有效切断肿瘤供血，且创伤小、安全系数高，采取综合护理干预方法可使患者术后并发症明显降低，生活质量显著提高。Objective To evaluate the therapeutic effect of comprehensive nursing intervention on the quality of life of patients with hepatic arteriel chemoembolization. Methods Two hundreds pa- tients were randomly divided into hepatic arterial chemoembolization groups （ n = 100） and hepatic arterial chemoembolization combined with general care groups （ n = 100）, According to different psychological status and postoperative complications, positive and effective nursing interventions were given, the group of patients received hepatic arterial chemoembolization were given quality of life questionnaire to investigate quality of life situation. Results After three months, the tumors of 65 patients in therapy group decreased obviously than preoperative and the liver function recovered; 35 patients of new niduses who asked for the second intervention therapy. The tumors in therapy plus general care group decreased obviously than preoperative and the liver function recovered. The confidence of those patients improved and the ability of take care of themseves and social adaptation improved. Conclusions The hepatic arterial chemoembolization is effective, it can cut off the blood of the tumor and have small trauma and high safety coefficient. It can decrease obviously the postoperative complication and improved the quality of life of the patients with comprehensive nursing intervention.

关 键 词：肝动脉灌注 化疗栓塞 生活质量 护理 综合干预 

分 类 号：R735.7[医药卫生—肿瘤]