肝癌介入治疗术后患者实施连续护理的效果  

Effect of continued nursing on liver cancer patients undergone transcatheter arterial chemoembolization

作　　者：齐越[1] 秦杰[1] 柳迪[1] 陈楠[1] 邱坤鹏[1] 宋淑平[2] 

机构地区：[1]哈尔滨医科大学附属第四医院消化内科,150001 [2]哈尔滨医科大学附属第四医院护理部,150001

出　　处：《中华现代护理杂志》2013年第25期3088-3091,共4页Chinese Journal of Modern Nursing

摘　　要：目的 探讨连续护理模式对肝癌介入（TACE）术后患者进行护理的临床效果.方法 选取58例TACE术后患者,随机分为对照组和实验组,各29例.对照组给予常规护理,实验组在对照组的基础上采用连续护理模式进行护理干预,采用SF-36量表比较两组患者的生活质量,并比较干预前后护理满意度.结果 两组患者干预前生活质量各因子差异无统计学意义（P＞0.05）；干预后实验组生活质量各因子中躯体功能（52.5±17.5）分、躯体角色（52.9±16.2）分、身体疼痛（53.0±17.3）分、生命力（56.1±15.7）分、情感角色（31.9±15.2）分,与干预前比较差异有统计学意义（t值分别为4.099,4.803,2.688,2.849,2.724;P＜0.01）；对照组干预前后生活质量各因子无变化,其中躯体功能（70.8±12.3）分,与实验组比较差异有统计学意义（t=4.607,P＜0.01）.干预后实验组护理满意度（34.13±5.25）分,对照组（26.51±4.86）分,两组比较差异有统计学意义（t=5.181,P＜0.01）.结论 连续护理模式能有效提高TACE术后患者生活质量以及护理质量.Objective To investigate and evaluate the clinical effect of continued nursing on liver cancer patients undergone transcatheter arterial chemoembolization （TACE）.Methods A total of 58 patients were selected and randomly divided into control group and experimental group with 29 patients in each group.Patients in the control group were given routine nursing,and patients in experimental group were given continued nursing based on routine nursing.The patients＇ quality of life using the SF-36 and patients satisfaction with nursing were evaluated and compared between the two groups before and after nursing intervention.Results The scores in all factors of life quality of patients were no statistically significant difference between the two groups before nursing intervention （P 〉 0.05）.In the experimental group,the scores of physical function,rolephysical,body pain,vitality and role-emotionai in all factors of life quality of patients were （52.5 ± 17.5）,（52.9 ± 16.2）,（53.0 ± 17.3）,（56.1 ± 15.7） and （31.9 ± 15.2） after nursing intervention,respectively,the difference was statistically significant compared with before nursing intervention （t =4.099,4.803,2.688,2.849,2.724,respectively; P 〈 0.01）.While there were no statistically significant difference in the control group before and after nursing intervention on the scores in all factors of life quality.After nursing intervention,the scores of physical function in the control group was （70.8 ± 12.3）,and the difference in the scores of physical function was statistically significant compared with the control groups （t =4.607,P 〈 0.01）.After nursing intervention,the score of patients satisfaction with nursing in the experimental group was （34.13 ± 5.25）,which was higher than （26.51 ±4.86） in control group the difference was statistically significant （t =5.181,P 〈 0.01）.Conclusions Continued nursing can help to improve patients＇ quality of life and patients satisfaction with nursing after TACE.

关 键 词：肝肿瘤 连续护理 介入治疗 生活质量 满意度 

分 类 号：R473.73[医药卫生—护理学]