全病程管理在肝癌经皮动脉药盒系统灌注化疗患者延续护理中的应用  

The application of the “whole course management” in the continuous care of patients with hepatocellular carcinoma receiving port-catheter system infusion chemotherapy

作　　者：刘燕芳 杨迎春 陈丹[1] 李瀚峰 伍雅琴 罗春香[1] LIU Yanfang;YANG Yingchun;CHEN Dan;LI Hanfeng;WU Yaqin;LUO Chunxiang(Medical Cllege of Hunan Normal University,Changsha,Hunan 410013,China)

机构地区：[1]湖南师范大学医学院,长沙410013 [2]中南大学湘雅医院临床护理学教研室 [3]湘潭市妇幼保健院 [4]中南大学湘雅医院放射介入科

出　　处：《介入放射学杂志》2022年第7期711-715,共5页Journal of Interventional Radiology

摘　　要：目的 探讨联合微信平台的全病程管理服务在肝癌患者经动脉导管药盒系统灌注化疗延续护理中的应用效果。方法 选取2020年10月至2021年4月接受经动脉导管药盒系统灌注化疗的患者86例为研究对象,随机分为观察组和对照组,每组43例。出院后对照组采用常规出院指导;观察组在此基础上建立全病程管理,即通过医院“智医在线”公众号平台,为患者提供专业资讯、在线指导、药盒管理、预约维护等服务,于第3个月比较两组患者的自护能力和生命质量,并记录两组的相关知识知晓率和并发症发生率。结果 对观察组患者共推送信息共56条,线上服务共158次。首次治疗出院3个月后,观察组患者动脉灌注相关知识知晓率(86.0%)和自我护理能力(ASAS-R-C)评分(58.07±9.14)均高于对照组的60.1%和(53.14±8.75),生命质量(QLICP-LI)各项评分均高于对照组(均P<0.05);观察组动脉灌注相关并发症发生率(4.65%)低于对照组(20.93%)。结论 全病程管理的建立及应用有利于提高肝癌患者对经动脉药盒灌注化疗的认识,减少化疗期间相关并发症的发生,在一定程度上提高了患者的自我护理能力和生命质量。Objective To evaluate the effect of “whole course management” nursing service combined with WeChat platform in continuing nursing care for patients with hepatocellular carcinoma(HCC) receiving port-catheter system infusion chemotherapy. Methods A total of 86 HCC patients, who received port-catheter system infusion chemotherapy between October 2020 and April 2021, were enrolled in this study.The patients were randomly and equally divided into observation group(n=43) and control group(n=43). After discharge, the patients of control group were followed with routine discharge education, while the patients of observation group, on the basis of routine discharge education, received “whole course management”, i.e.through the hospital’s “medical online”public account platform to provide patients with professional information, online guidance, port-catheter management, medical appointment, and other services. Three months after discharge, the patients’ self-care ability and quality of life were compared between the two groups. The understanding rate of the relevant knowledge and the incidence of complications of both groups were recorded. Results To the patients of the observation group, a total of 56 information pieces were transmitted and a total of 158 online services were provided. Three months after initial treatment, the understanding rate of knowledge about arterial perfusion and ASAS-R-C score(self-care ability) in the observation group were 86.0% and(58.07±9.14) points respectively, which were significantly higher than 60.1%and(53.14±8.75) points respectively in the control group(P<0.05). All scores of the quality of life indicators(QLICP-LI) in the observation group were remarkably higher than those in the control group(P<0.05). The incidence of perfusion-related complications in the observation group was 4.65%, which was prominently lower than 20.93% in the control group(P<0.05). Conclusion The establishment and implement of “whole course management” nursing service is helpful for improvin

关 键 词：肝癌 导管药盒系统 全病程管理 化疗 延续护理 

分 类 号：R473.5[医药卫生—护理学]