认知功能障碍对肝癌患者生命质量的影响及护理对策  

The effects of cognitive dysfunction on the quality of life in patients with hepatocellular carcinoma and the corresponding nursing strategies

作　　者：吕静[1] 陈似霞[1] 李佳梅[1] 李春兰[1] 刘石玉[1] 潘锡屏[1] 

机构地区：[1]广西医科大学第一附属医院肝移植病区,南宁530021

出　　处：《中国临床新医学》2015年第4期318-320,共3页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

基　　金：广西卫计委科研课题(编号:Z2012123)

摘　　要：目的探讨认知功能障碍对肝癌患者生命质量的影响及护理对策。方法对127例原发性肝癌患者进行简易精神状态量表和SF-36健康调查量表测定,分为肝癌合并认知功能障碍组(观察组,n=36)和肝癌无合并认知功能障碍组(对照组,n=91),比较两组一般情况和SF-36健康调查量表评分的变化。结果观察组与对照组性别、年龄和体质指数等一般情况比较差异均无统计学意义(P>0.05),而观察组的生理功能、生理机能、躯体疼痛、社会功能、心理健康、情感职能、活力和总体健康等8个维度评分均明显低于对照组(P<0.05)。结论肝癌合并认知功能障碍患者的生命质量下降,临床工作中应采取积极的护理干预措施,减少认知功能障碍的发生,提高患者的生命质量。Objective To investigate the effects of cognitive dysfunction on the quality of life in patients with hepatocellular carcinoma and the corresponding nursing strategies .Methods One hundred twenty seven patients with hepatocellular carcinoma were screened with the mini-mental state examination and SF-36 health survey question-naire.The patients were divided into the observation group （hepatocellular carcinoma with cognitive dysfunction , n=36） and the control group （hepatocellular carcinoma without cognitive dysfunction , n=91）, and the SF-36 scores were compared between the two groups .Results There were no significant differences in gender , age, body mass in-dex and other general conditions between the two groups （ P〉0.05 ） .The physical function , role-physical , bodily pain, social functioning, mental health, role-emotional, vitality and general health were significantly lower in the ob-servation group than those in the control group （ P〈0.05 ） .Conclusion The quality of life of the hepatocellular car-cinoma patients with cognitive dysfunction is worse .The active nursing intervention should be conducted to reduce the cognitive dysfunction and improve the quality of life in those patients .

关 键 词：肝癌 认知功能障碍 生命质量 护理对策 

分 类 号：R473.73[医药卫生—护理学]