强化干预措施对肝癌患者继发肺部感染的影响  

Influence of strengthen intervention measures to secondary pulmonary infection in patients with liver cancer

作　　者：张慧 郑晓贞 阮安全 

机构地区：[1]温州市中心医院消化内科,浙江温州325000

出　　处：《中华医院感染学杂志》2014年第5期1189-1190,1193,共3页Chinese Journal of Nosocomiology

基　　金：浙江省医药卫生科研基金项目(2010KYB090)

摘　　要：目的运用强化措施对住院肝癌患者进行干预,了解其对继发肺部感染的发生率、患者满意度和生活质量评分的影响,为预防肝癌患者继发肺部感染提供一定的理论依据。方法选择2010年8月-2012年8月住院的80例行肝动脉化疗栓塞术(TACE)治疗且中性粒细胞≤10×109/L肝癌患者,将其随机分为强化组和对照组,每组40例;对照组术后行常规化疗措施及健康教育指导,强化组在此基础上给予强化肺部干预措施;分别对两组患者继发肺部感染的发生率、患者满意度、生活质量评分进行比较分析。结果肝癌患者化疗后肺部感染率强化组为7.5%、对照组为27.5%,经χ2检验,强化组肺部感染率低于对照组,差异有统计学意义(χ2=5.541,P<0.05);患者满意度强化组为82.5%,对照组为25.0%,两组比较差异有统计学意义(χ2=27.195,P<0.01);强化组的总生存质量评分、食欲、睡眠、自理能力、心理能力、对疾病的认识评分明显高于对照组,差异均有统计学意义(P<0.01)。结论强化干预措施能够降低肝癌患者化疗期继发肺部感染的发生率和增加患者满意度,增强了患者化疗期间的抵抗力,从而在提高了患者的生活质量。OBJECTIVE To intervene hospitalized patients with liver cancer with the strengthening measures and understand the incidence of the secondary pulmonary infection, the influence of patient satisfaction and quality of life scores, so as to provide the reference for the prevention of liver cancer patients with secondary pulmonary infection. METHODS In our hospital, 80 cases of hepatic artery chemoembolization（TACE） of liver cancer patients with neutrophil 〈10 × 10^9 /L were hospitalized trom Aug. 2010 to Aug. 2012 which were randomly divided into strengthen group and control group, each group of 40 cases. The control group received conventional chemotherapy nursing and health education guidance, while strengthen group got more measures about strengthening the intervention measures of lung. The incidence of secondary pulmonary infection, patient satisfaction, quality of life score in the moups were compared and analyzed. RESULTS After chemotherapy, the lung infection rate of liver cancer patients in strengthen group was 7.5%, while control group 27.5% and. x＇ test showed that the incidence of pulmonary infection in the strengthen group was lower than that in the control group, and the difference was statistically significant （x^2= 5. 541, P〈0. 05） ; Patient satisfaction rate in strengthen gnoap was 82. 5 %, while control group 25.0% and the difference was statistically significant （x^2= 27.195, P〈0. 01）; The total quality of life score, appetite, sleep, self-care ability, mental ability, the understanding of disease score in strengthen group were significantly higher than thfe of the control group, and the difference was statistically significant （P〈0. 01）. CONCLUSION Strengthening nursing intervention can reduce the incidence of secondary pulmonary infection of hospitalized patients with liver cancer in chemotherapy period, improve patient satisfaction, and enhance the patients during chemotherapy resistance, which improve the patient＇s quality of life.

关 键 词：强化干预 肝癌 肺部感染 满意度 

分 类 号：R563.1[医药卫生—呼吸系统]