情志调理在原发性肝癌患者经导管动脉栓塞化疗中的应用效果  

Application effect of emotional conditioning in patients with primary liver cancer undergoing transcatheter arterial chemoembolization

作　　者：李楠楠[1] 孙真真[2] 王大鹏[1] 关徐涛[1] LI Nannan;SUN Zhenzhen;WANG Dapeng;GUAN Xutao(Department of Hematology and Oncology,the First Affiliated Hospital of He’nan University of Chinese Medicine,Zhengzhou 450000,He’nan,China;Office,Longzihu Branch,the First Affiliated Hospital of He’nan University of Chinese Medicine,Zhengzhou 450000,He’nan,China)

机构地区：[1]河南中医药大学第一附属医院血液肿瘤科,郑州450000 [2]河南中医药大学第一附属医院龙子湖院区办公室,郑州450000

出　　处：《癌症进展》2023年第2期191-193,201,共4页Oncology Progress

摘　　要：目的 探讨情志调理在原发性肝癌患者经导管动脉栓塞化疗(TACE)中的应用效果。方法 依据干预方法的不同将200例原发性肝癌患者分为常规组和观察组,每组100例,常规组患者给予常规护理干预,观察组患者给予情志调理干预。比较两组患者胃肠功能指标、生活质量[生活质量综合评定问卷-74(GQOLI-74)]、自护能力[自我护理能力测定量表(ESCA)]、不良反应发生情况和护理满意度。结果 观察组患者肠鸣音恢复时间、首次排气时间、首次排便时间均明显短于常规组,差异均有统计学意义(P﹤0.01)。干预后,两组患者GQOLI-74、ESCA量表各维度评分均高于本组干预前,且观察组患者GQOLI-74、ESCA量表各维度评分均高于常规组,差异均有统计学意义(P﹤0.05)。观察组患者不良反应总发生率为2.00%,明显低于常规组患者的13.00%,护理满意度为97.00%,明显高于常规组患者的86.00%,差异均有统计学意义(P﹤0.01)。结论 情志调理干预能够提高原发性肝癌TACE患者的生活质量和自护能力,降低不良反应发生率。Objective To explore the application effect of emotional conditioning in patients with primary liver cancer undergoing transcatheter arterial chemoembolization(TACE). Method A total of 200 patients with primary liver cancer were divided into routine group and observation group according to different intervention methods, with 100 cases in each group. Patients in the routine group were given routine nursing intervention, and patients in the observation group were given emotional conditioning intervention. The gastrointestinal function indicators, quality of life [generic quality of life inventory-74(GQOLI-74)], and self-care ability [exercise of self-care agency(ESCA)], and the incidence of adverse events and nursing satisfaction were compared between the two groups. Result The recovery time of bowel sounds, the time of first exhaust and the time of first defecation in the observation group were significantly shorter than those in the routine group, the differences were statistically significant(P<0.01). After intervention, the scores of GQOLI-74 and ESCA scales in both groups were higher than those before intervention, and the scores of GQOLI-74 and ESCA scales in the observation group were higher than those in the routine group, the differences were statistically significant(P<0.05). The total incidence of adverse reactions in the observation group was 2.00%, significantly lower than 13.00% in the routine group, and the nursing satisfaction was 97.00%, significantly higher than 86.00% in the routine group, the differences were statistically significant(P<0.01). Conclusion Emotional conditioning intervention can improve the quality of life of TACE patients with primary liver cancer, improve self-care ability and reduce the incidence of adverse reactions.

关 键 词：原发性肝癌 经导管动脉栓塞化疗 情志调理 生活质量 

分 类 号：R735.7[医药卫生—肿瘤]