中医辨证施护在肝郁脾虚型原发性肝癌患者中的应用  

Application of traditional Chinese medicine syndrome differentiation and nursing in patients with liver-stagnation and spleen-deficiency primary liver cancer

作　　者：吴颖[1] Wu Ying(Department of Interventional Medicine,Zhejiang Provincial People's Hospital,Hangzhou 310015,China)

机构地区：[1]浙江省人民医院介入医学科,杭州310015

出　　处：《中华现代护理杂志》2021年第21期2913-2917,共5页Chinese Journal of Modern Nursing

基　　金：浙江省中医药科技计划项目(2020ZB016)。

摘　　要：目的:探讨中医辨证施护在肝郁脾虚型原发性肝癌患者肝动脉化疗栓塞术(TACE)术后中的应用效果。方法:采用便利抽样法,选取2018年1月—2020年1月在浙江省人民医院经中医辨证为肝郁脾虚型的84例原发性肝癌患者为研究对象,按照入院时间分为观察组(42例)和对照组(42例)。两组患者均行TACE治疗,对照组在此基础上采用常规围术期护理,观察组在此基础上采用中医辨证施护。比较两组患者干预前后中文版癌症自我管理效能感量表(C-SUPPH)、肝癌患者生活质量评价量表(QOL-LC)得分,比较两组患者干预后护理满意度。结果:两组患者干预后C-SUPPH得分、QOL-LC各维度得分高于干预前,且观察组患者干预后C-SUPPH得分、QOL-LC各维度得分高于对照组,差异有统计学意义(P<0.05)。观察组患者的护理满意度为92.86%(39/42),高于对照组的76.19%(32/42),差异有统计学意义(P<0.05)。结论:肝郁脾虚型原发性肝癌患者TACE围手术期采用中医辨证施护,能有效提高患者自我效能感及生活质量,且患者满意度高。Objective To explore the application effect of traditional Chinese medicine(TCM)syndrome differentiation and nursing in patients with liver-stagnation and spleen-deficiency primary liver cancer after transcatheter arterial chemoembolization(TACE).Methods From January 2018 to January 2020,convenience sampling was used to select 84 primary liver cancer patients who were diagnosed as liver-stagnation and spleen-deficiency type by TCM differentiation in Zhejiang Provincial People's Hospital as research objects.Patients were divided into the observation group(42 cases)and the control group(42 cases)according to the admission time.Both groups of patients were treated with TACE,the control group carried out conventional perioperative nursing on this basis,and the observation group implemented TCM syndrome differentiation and nursing based on this basis.The scores of the Chinese Strategies Used by People to Promote Health(C-SUPPH)and the Quality of Life-Liver Cancer(QOL-LC)before and after the intervention were compared between the two groups of patients,and the nursing satisfaction of two groups after the intervention was compared.Results The scores of the C-SUPPH and different dimensions of the QOL-LC of the two groups after the intervention were higher than those before the intervention,and the scores of C-SUPPH and different dimensions of the QOL-LC of the observation group after the intervention were higher than those of the control group,the differences were statistically significant(P<0.05).The nursing satisfaction of the observation group was 92.86%(39/42),which was higher than 76.19%(32/42)of the control group,and the difference was statistically significant(P<0.05).Conclusions The application of TCM syndrome differentiation and nursing in patients with liver-stagnation and spleen-deficiency primary liver cancer undergoing TACE can effectively improve the self-efficacy and quality of life of the patients,and enhance patients'satisfaction.

关 键 词：生活质量 原发性肝癌 肝动脉化疗栓塞术 中医 辨证施护 

分 类 号：R248.9[医药卫生—中医临床基础]