健康教育对原发性肝癌介入治疗患者舒适度、疼痛程度、心理状态及癌因性疲乏程度的影响  

Effect of health education on the comfort level,pain degree,psychological state and degree of cancer-related fatigue of patients with primary hepatic carcinoma undergoing interventional therapy

作　　者：张林霞[1] 张玉玲[2] 张全英[3] 赵丽[4] 陈维玲 ZHANG Linxia;ZHANG Yuling;ZHANG Quanying;ZHAO Li;CHEN Weiling(Department of Intervention,the First Affiliated Hospital of Xinxiang Medical University,Xinxiang 453100,He’nan,China;Health Management Center,the First Affiliated Hospital of Xinxiang Medical University,Xinxiang 453100,He’nan,China;Department of Nursing,the First Affiliated Hospital of Xinxiang Medical University,Xinxiang 453100,He’nan,China;PICU,the First Affiliated Hospital of Xinxiang Medical University,Xinxiang 453100,He’nan,China)

机构地区：[1]新乡医学院第一附属医院介入科,河南新乡453100 [2]新乡医学院第一附属医院健康管理中心,河南新乡453100 [3]新乡医学院第一附属医院护理部,河南新乡453100 [4]新乡医学院第一附属医院PICU,河南新乡453100

出　　处：《癌症进展》2021年第12期1287-1291,共5页Oncology Progress

摘　　要：目的探讨健康教育对原发性肝癌(PHC)介入治疗患者舒适度、疼痛程度、心理状态及癌因性疲乏程度的影响。方法根据教育方法的不同将98例PHC介入治疗患者分为对照组和研究组,每组49例。对照组患者在围介入治疗期进行常规临床教育与指导,研究组患者在对照组的基础上给予健康教育。教育前和教育后,采用Kolcaba舒适状况量表评价两组患者的舒适度,采用视觉模拟评分法(VAS)评价两组患者的疼痛程度,采用焦虑自评量表(SAS)和抑郁自评量表(SDS)评价两组患者的心理状态,采用Piper疲乏量表(PFS)评价两组患者的癌因性疲乏程度,采用癌症患者生命质量测定量表(QLICP)评价两组患者的生活质量。调查并比较两组患者的满意度,统计两组患者术后不良反应及并发症的发生率。结果教育后,研究组患者的Kolcaba舒适状况量表评分高于对照组,VAS评分、SAS评分及SDS评分均低于对照组,差异均有统计学意义(P﹤0.05)。教育后,研究组患者PFS各维度评分均低于对照组,差异均有统计学意义(P﹤0.05)。教育后,研究组患者QLICP各维度评分及总分均高于对照组,差异均有统计学意义(P﹤0.05)。研究组患者的满意度明显高于对照组,差异有统计学意义(P﹤0.01)。研究组患者排尿障碍、下肢麻木、烦躁失眠、穿刺点出血的发生率均低于对照组,差异均有统计学意义(P﹤0.05)。结论健康教育能够提高PHC介入治疗患者的舒适度,降低疼痛程度,改善心理状态,降低术后不良反应及并发症发生率,进而提高患者的生活质量。Objective To investigate the effect of health education on the comfort level,pain degree,psychological state and degree of cancer-related fatigue of patients with primary hepatic carcinoma(PHC)undergoing interventional therapy.Method A total of 98 patients with PHC undergoing interventional therapy were divided into control group and study group according to different educational methods,with 49 cases in each group.Patients in the control group received traditional clinical education and guidance during the peri-interventional treatment period,patients in the study group were given health education based on the regimen taken by the control group.Before and after education,Kolcaba’s comfort status scale was used to evaluate the comfort level of the two groups,the visual analogue scale(VAS)was used to evaluate the pain degree of the two groups,the self-rating anxiety scale(SAS)and self-rating depression scale(SDS)were used to evaluate the psychological state of the two groups,the Piper fatigue scale(PFS)was used to evaluate the degree of cancer-related fatigue of the two groups,and the quality of life instruments for cancer patients(QLICP)was used to evaluate the quality of life of the two groups.The satisfaction of patients in the two groups was investigated and compared.The incidence of postoperative adverse reactions and complications in the two groups were analyzed.Result After education,the Kolcaba’s comfort status scale score of the study group was higher than that of the control group,the VAS,SAS and SDS scores of the study group were all lower than those of the control group,and the differences were statistically significant(P<0.05).After education,the scores of all dimensions of PFS of the study group were lower than those of the control group,the differences were statistically significant(P<0.05).After education,the scores of all dimensions of QLICP and total scores of the patients in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05)

关 键 词：原发性肝癌 介入治疗 健康教育 舒适度 疼痛程度 心理状态 癌因性疲乏 生活质量 

分 类 号：R735.7[医药卫生—肿瘤]