护理干预对原发性肝癌肝动脉栓塞化疗术患者术后并发症及临床效果的影响体会  

Effect of Nursing Intervention on Postoperative Complications and Clinical Outcomes in Patients with Primary Liver Cancer Undergoing Hepatic Artery Embolization Chemotherapy

作　　者：聂凤妹[1] 黎少芳[1] 李海燕[1] 段花丽 周洁英 苏焕玲[1] 严业华 符丽君 NIE Feng-mei;LI Shao-fang;LI Hai-yan;DUAN Hua-li;ZHOU Jie-ying;SU Huan-ling;YAN Ye-hua;FU Li-jun(Department of Gastrointestinal Hepatobiliary Surgery,Second People's Hospital of Foshan,Foshan,Guangdong Province,528000 China)

机构地区：[1]佛山市第二人民医院胃肠肝胆外科

出　　处：《中外医疗》2019年第32期139-141,162,共4页China & Foreign Medical Treatment

摘　　要：目的评价原发性肝癌肝动脉栓塞术患者采取护理干预对并发症、临床效果的影响。方法便利选取2018年1—12月该院接收的20例原发性肝癌动脉栓塞化疗术患者,随机分为两组,对照组(n=10)开展常规护理方案,研究组(n=10)进行综合护理方案,统计各组并发症发生率、护理前后SDS与SAS评分、护理前后疼痛评分及满意度。结果在并发症发生率及满意度方面,对照组分别是40.00%和50.00%,研究组分别是0.00%和90.00%,研究组优于对照组,差异有统计学意义(χ2=5.000、3.809,P=0.025、0.049);护理前,两组VAS评分、SDS评分及SAS评分对比,差异无统计学意义(t=0.265、0.042、0.058,P=0.794、0.967、0.955);护理后,研究组均显著优于对照组,差异有统计学意义(t=10.770、4.581、5.505,P=0.000、0.000、0.000)。结论原发性肝癌肝动脉栓塞化疗术患者护理期间,采取综合护理方案,不仅可以减轻患者心理压力和疼痛,同时有助于护患关系的改善,避免其他疾病的发生。Objective To evaluate the effect of nursing intervention on complications and clinical outcomes in patients with hepatic artery embolization of primary liver cancer.Methods Twenty patients with primary hepatic artery arterial embolization received from the hospital from January 2018 to December 2018 were convenient selected and randomly divided into two groups.The control group(n=10)underwent routine nursing program,the study group(n=10)conducted a comprehensive nursing program to calculate the incidence of complications in each group,SDS and SAS scores before and after care,pain scores before and after care,and satisfaction.Results In terms of complication rate and satisfaction,the control group was 40%and 50%,respectively,and the study group was 0.00%and 90.00%respectively.The study group was superior to the control group,and the difference was statistically significant(χ2=5.000,3.809,P=0.025,0.049);before treatment,there was no significant difference in VAS score,SDS score and SAS score between the two groups(t=0.265,0.042,0.058,P=0.794,0.967,0.955);after nursing,study group was significantly better than the control group,and the difference was statistically significant(t=10.770,4.581,5.505,P=0.000,0.000,0.000).Conclusion During the nursing of patients with primary hepatocellular carcinoma with hepatic artery embolization,a comprehensive nursing program can not only reduce the psychological stress and pain,but also improve the relationship between nurses and patients and avoid other diseases.

关 键 词：并发症 原发性肝癌 肝动脉栓塞化疗术 综合护理干预 疼痛 

分 类 号：R473[医药卫生—护理学]