晚期肾癌行肾动脉栓塞化疗术患者的综合护理效果  

Effect of comprehensive nursing intervention in advanced renal cell carcinoma patients underwent renal artery embolization chemotherapy

作　　者：王艳杰[1] 陈辉[1] 

机构地区：[1]哈尔滨医科大学附属肿瘤医院泌尿外科,黑龙江哈尔滨150040

出　　处：《中国医药导报》2015年第2期133-136,共4页China Medical Herald

基　　金：黑龙江省卫生厅科研课题(编号2007-374)

摘　　要：目的探讨综合护理干预对行肾动脉栓塞化疗术的晚期肾癌患者治疗效果的影响。方法回顾性分析哈尔滨医科大学附属肿瘤医院2010年5月~2014年5月收治的80例晚期肾癌患者的临床资料,均行肾动脉栓塞化疗术治疗,根据护理方法不同分为观察组和对照组,每组各40例。观察组行综合护理干预,对照组行常规护理干预,比较两组患者治疗前后肿瘤变化,护理干预前后的焦虑情况,并发症发生率。结果观察组治疗后肿瘤直径[（6.4±1.3）cm]小于对照组[（6.8±1.5）cm],但差异无统计学意义（P〉0.05）;观察组和对照组护理后SAS评分分别为（33.4±7.2）、（43.2±9.4）分,并发症总发生率分别为27.5%（11/40）、50.0%（20/40）,差异均有统计学意义（均P〈0.05）。结论综合护理干预有助于减轻行肾动脉栓塞化疗术的晚期肾癌患者的焦虑心理,全面减少术后并发症发生风险,提高治疗效果。Objective To discuss and analyze the impact of comprehensive nursing intervention on therapeutic effects of patients with advanced renal cell carcinoma treated by renal artery embolism chemotherapy. Methods From May 2010 to May 2014, in Cancer Hospital Affiliated to Harbin Medical University, the clinical data of 80 patients with ad-vanced renal cell carcinoma were retrospectively analyzed and divided into observation group and control group, accord-ing to different nursing methods, with 40 cases in each group. All patients were all treated by renal artery embolism chemotherapy, the observation group was given comprehensive nursing intervention and control group was given routine nursing intervention. Tumor changes before and after treatment, anxiety conditions before and after nursing intervention, and complication occurrence rates of the 2 groups were compared. Results After the treatment, tumor diameter of ob-servation group [（6.4±1.3） cm] was smaller than control group [（6.8±1.5） cm], but the difference was not statistically sig-nificant （P〉 0.05）; SAS scores in observation group and control group after treatment were （35.7±8.4）, （44.8±10.6） points, the complication rate were 27.5% （11/40）, 50.0% （20/40） respectively, the differences were statistically signifi-cant （P〈 0.05）. Conclusion Comprehensive nursing intervention can relieve anxiety of patients with advanced renal cell carcinoma treated by renal artery embolism chemotherapy, comprehensively reduce postoperative complication risks, and improve clinical effect.

关 键 词：肾癌 肾动脉栓塞化疗术 护理 

分 类 号：R737.11[医药卫生—肿瘤]