延续护理对介入治疗中晚期肝癌患者自我护理能力和生活质量的影响  

Influence of continued nursing care on self-care ability and quality of life in patients with moderate or advanced liver cancer undergoing interventional therapy

作　　者：王品楠[1] 任品芬[1] 冯智华[1] 严娜萍[1] 潘玲[1] 李芳[1] 

机构地区：[1]东南大学医学院附属江阴医院介入科,江苏省江阴市214400

出　　处：《职业与健康》2013年第23期3214-3216,共3页Occupation and Health

摘　　要：目的探讨延续护理对介入治疗中晚期肝癌患者自我护理能力和生活质量的影响。方法选择58例经皮导管肝动脉灌注化疗治疗中晚期肝癌病者,随机均分为研究组和对照组,对照组实施常规护理,研究组给予延续护理,出院前3 d进行护理评估和出院指导,出院后4周进行电话随访和每隔2周的家庭访视。采用自我护理能力测定量表评定患者的自我护理能力、自我责任感和健康知识水平,采用SF-36评估患者的情感指数、健康指数和生活满意度。结果护理前,两组患者的自我护理能力和生活质量差异无统计学意义(P>0.05),护理后,研究组的自我护理能力、自我责任感和健康知识水平分别为(116.32±13.96)、(22.36±3.94)和(52.36±5.78)分,明显高于对照组的(102.24±12.30)、(19.72±3.21)和(48.16±4.02)分,差异均有统计学意义(均P<0.05);研究组的情感指数、健康指数和生活满意度分别为(6.76±1.79),(8.24±1.88)和(9.72±1.97),显著高于对照组的(5.64±1.52),(7.08±1.96)和(8.16±1.37),差异均有统计学意义(均P<0.05)。结论延续护理显著提高介入治疗中晚期肝癌患者的自我护理能力和生活质量。[ Objective] To investigate the influence of continued nursing care on self-care ability and quality of life in patients with moderate or advanced liver cancer undergoing interventional therapy. [ Methods] 58 patients with moderate or advanced liver canc- er, who were treated with the percutaneous transcatheter arterial infusion chemotherapy, were randomly divided into the study group and the control group. The control group received routine nursing care, and the study group was given the continued nursing care. The care assessment and discharge guidance were performed 3 days before discharge, while telephone follow-up and home visits （ every two weeks ） were conducted 4 weeks after discharge. The self-care ability, self-responsibility and health knowledge level of patients were assessed with the Self-care ability measurement scale. The emotional index, health index and life satisfaction of pa- tients were evaluated with SF-36. [ Results ] Before nursing care, there were no significant differences in self-care ability and quality of life between two groups （P 〉 0.05 ）. After nursing care, the scores of self-care ability, self-responsibility and health knowledge level in the study group were respectively 116.32 ± 13.96, 22.36 ± 3.94 and 52.36 ± 5.78, which were higher than those in the control group （ 102.24 ± 12.30, 19.72 ± 3.21and 48.16 ±4.02 ）, and the differences were significant （ all P 〈 0.05 ）. The scores of emotional index, health index and life satisfaction in the study group were respectively 6.76 ± 1.79, 8.24 ± 1. 88 and 9.72 ± 1.97, which were higher than those in the control group （ 5.64 ± 1.52, 7.08 ± 1.96 and 8.16 ±1.37 ）, and the differences were significant （all P 〈 0.05）. [ Conclusion] The continued nursing care can significantly improve the self-care ability and quality of life in patients with moderate or advanced liver cancer undergoing interventional therapy.

关 键 词：延续护理 中晚期肝癌 介入治疗 自我护理能力 生活质量 

分 类 号：R471[医药卫生—护理学]