对^125I粒子植入治疗肝癌患者的心理护理路径  

Psychological nursing pathway for HCC patients receiving ^(125)I particle implantation therapy: a clinical study

作　　者：黄翠红[1] 何夏君[1] 刘道清[1] 肖洁泓[1] 程湘妮[1] 谭业仙[1] 顾金燕[1] 陈秀梅[1] 陈晓明[1] 

机构地区：[1]广东省医学科学院、广东省人民医院介入治疗科,广州510080

出　　处：《介入放射学杂志》2017年第9期850-854,共5页Journal of Interventional Radiology

摘　　要：目的探索心理护理路径法对行125I粒子植入治疗的肝癌患者的临床效果。方法将接受125I植入治疗的130例肝癌患者随机分为对照组和试验组,对照组应用传统方法实施常规心理护理,观察组依据心理护理路径来实施心理护理。实施前后分别采用焦虑自评量表(SAS)、特质应对方式问卷(TCSQ)、生活质量评价量表SF-36评测两组状况并进行t检验。结果观察组和对照组两组干预后的SAS评分分别为(43.76±6.25)分和(46.16±7.19)分,差异有统计学意义(t值=-3.92,P<0.001)。干预后观察组TCSQ评分中的PC和NC分值分别为(41.61±4.82)分和(20.53±5.88)分;对照组的PC和NC评分分别为(37.32±4.62)分和(22.80±6.93)分。差异均有统计学意义(t组间pc/nc=5.944/-3.316,P<0.01)。出院1个月后,观察组和对照组患者的心理健康评分分别为(74.58±8.68)和(71.53±8.16)分,情绪功能分别为(79.46±10.05)和(75.13±15.09)分,总体健康状况评分分别为(76.69±7.52)和(65.34±18.16)分,差异均有统计学意义(P<0.05)。结论心理护理路径法让护士更加清晰心理护理工作的内容,使护士有计划、主动地完成心理护理工作,使患者获得了期前性、个体性、全面性的心理护理平缓了患者的负性情绪,提高了肝癌患者的生活质量。Objective To explore the clinical effect of psychological nursing pathway for patients with hepatocellular carcinoma （HCC） who are receiving 125I panicle implantation therapy. Methods A total of 130 HCC patients, who were scheduled to receive 125I particle implantation therapy, were randomly and equally divided into the study group and the control group with 65 patients in each group. Traditional routine psychological nursing method was conducted for patients of the control group, while routine psychological nursing that was based on psychological nursing pathway was carried out for patients of the study group. The patient＇s conditions of both groups were evaluated by using self-rating anxiety scale （SAS）, trait coping style questionnaire （TCSQ） and the quality of life assessment scale （SF-36）. The results were statistically analyzed with t test. Results After nursing intervention, SAS scores of the study group and the control group were （43.76±6.25） and （46.16±7.19） points respectively, the difference between the two groups was statistically significant （t=-3.92, P〈0.001 ）. The PC and NC values of the TCSQ score in the study group were （41.61± 4.82） points and （20.53±5.88） points respectively, while those in the control group were （37.32±4.62） and （22.80±6.93） respectively, the differences between the two groups were statistically significant （t=5.944 and t=-3.316 respectively, P〈0.01）. One month after discharge, the mental health scores of the study group and the control group were （74.58±8.68） points and （71.53±8.16） points respectively, the emotion function scores were （79.46±10.05） points and （75.13±15.09） points respectively, and the differences in both mental health score and emotion function score between the two groups were statistically significant （P〈0.05）. Conclusion Standardized psychological nursing pathway can make nurses more clear about the content of psychological nursing work and enable nurses to actively plan

关 键 词：心理护理路径 125I粒子植入 肝癌 

分 类 号：R473.73[医药卫生—护理学]