原发性肝癌患者护理中人文关怀的应用效果分析  

Analysis of Application Effect of Humanistic Care in the Nursing of Patients with Primary Liver Cancer

作　　者：郭霞 林秀如[2] GUO Xia;LIN Xiu-ru(Department of Intervention,Meng Chao Liver and Gallbladder Hospital of Fujian Medical University,Fuzhou,Fujian Province,350025 China;Department of HepatobilialT Surgery,First Hospital Affiliated to Fujian Medical University,Fuzhou,Fujian Province,350005 China)

机构地区：[1]福建医科大学孟超肝胆医院介入科,福建福州350025 [2]福建医科大学附属第一医院肝胆外科,福建福州350005

出　　处：《中外医疗》2018年第11期140-142,共3页China & Foreign Medical Treatment

摘　　要：目的探讨原发性肝癌患者护理中人文关怀的应用效果。方法回顾分析2014年8月—2017年8月期间福建医科大学附属第一医院肝胆外科收治的65例原发性肝癌患者的临床资料,对照组给予常规护理,观察组在常规护理的基础上给予人文关怀护理干预,比较两组患者的焦虑、抑郁等心理状态及生活质量。结果观察组患者护理前的QOL评分为(20.56±6.65)分,护理后为(45.92±8.20)分,对照组患者护理前的QOL评分为(21.03±6.80)分,护理后为(32.20±6.33)分。护理后,观察组患者的QOL评分显著优于对照组差异有统计学意义(t=7.564 9,P=0.000 0),两组护理前差异无统计学意义(t=0.281 6,P=0.000 0);观察组患者护理前的SAS评分为(48.63±5.90)分,SDS评分为(55.69±6.29)分;护理后的SAS评分为(36.50±5.82)分,SDS评分为(30.21±5.38)分;对照组患者护理前的SAS评分为(48.09±6.03)分,SDS评分为(56.00±6.41)分;护理后的SAS评分为(47.82±6.31)分,SDS评分为(43.37±5.47)分。护理后,观察组患者的QOL评分显著优于对照组(P<0.05),两组护理前差异无统计学意义(P<0.05)。结论对原发性肝癌患者实施人文关怀性护理,有助于提高患者的生活质量,改善患者的焦虑、抑郁等负面心理,可在一定程度上提升患者的生存质量,适于广泛推广。Objective To study the application effect of humanistic care in the nursing of patients with primary liver cancer.Methods 65 cases of patients with primary liver cancer admitted and treated in our hospital from August 2014 to August2017 were selected, the control group used the routine nursing, while the observation group used the humanistic care nursing intervention on the basis of the control group, and the anxiety, depression and quality of life were compared between the two groups. Results The QOL scores before and after nursing in the observation group were respectively（20.56±6.65）marks and（45.92 ±8.20）marks, and（21.03 ±6.80）marks,（32.20 ±6.33）marks in the control group, after nursing, the QOL scores in the observation group were obviously better than those in the control group the difference was statistically significant（t =7.564 9,P=0.000 0）, and the difference between the two groups before nursing was not statistically significant（t=0.281 6,P=0.000 0）, and the SAS score and SDS score in the observation group before and after nursing were respectively（48.63±5.90）marks,（55.69±6.29）marks,（36.50±5.82）marks,（30.21±5.38）marks and（48.09±6.03）marks,（56.00±6.41）marks,（47.82±6.31）marks,（43.37±5.47）marks in the control group, after nursing, the QOL scores in the observation group were obviously better than those in the control group（P〈0.05）, and the difference between the two groups before nursing the difference was not statistically significant（P〈0.05）. Conclusion The humanistic care nursing in patients with primary liver cancer contributes to improving the quality of life, and improving the negative emotions such as anxiety and depression and improve the survival quality to a certain degree, which is suitable for wide promotion.

关 键 词：人文关怀 护理 原发性肝癌 效果 

分 类 号：R5[医药卫生—内科学]