阶梯思维护理对肝癌手术患者肝功能、术后恢复情况及生活质量的影响  

Effects of Stairway Thinking Nursing on Liver Function,Postoperative Recovery Condition and Quality of Life in Patients undergoing Liver Cancer Surgery

作　　者：林燕萍[1] 陈昭硕 王燕[1] LIN Yanping;CHEN Zhaoshuo;WANG Yan(Clinical School of Fujian Medical University,Fuzhou 350000,China;不详)

机构地区：[1]福建医科大学肿瘤临床医学院(福建省肿瘤医院),福建福州350000

出　　处：《中外医学研究》2024年第9期95-98,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:分析阶梯思维护理对肝癌手术患者肝功能、术后恢复情况及生活质量的影响。方法:选取2021年1月—2022年6月福建医科大学肿瘤临床医学院收治的80例肝癌手术患者。根据患者的意愿将其分为观察组(40例)和对照组(40例)。对照组给予常规护理,观察组在对照组的基础上给予阶梯思维护理。比较两组护理前后肝功能、生活质量及术后恢复情况。结果:护理后,两组天冬氨酸氨基转移酶(aspartate transaminase,AST)、丙氨酸转氨酶(alanine transaminase,ALT)、总胆红素(total bilirubin,TBIL)水平均降低,观察组AST、ALT、TBIL水平均低于对照组,差异有统计学意义(P<0.05)。护理后,两组躯体功能、角色功能、情绪功能评分均升高,观察组躯体功能、角色功能、情绪功能评分均高于对照组,差异有统计学意义(P<0.05)。观察组肠鸣音恢复时间、排便时间、排气时间、下床活动时间均显著早于对照组,差异有统计学意义(P<0.05)。结论:阶梯思维护理能有效改善肝癌手术患者肝功能,提升术后恢复效果和患者的生活质量。Objective:To analyze the effects of stairway thinking nursing on liver function,postoperative recovery condition and quality of life in patients undergoing liver cancer surgery.Method:A total of 80 patients with liver cancer undergoing surgery admitted to the Clinical School of Fujian Medical University from January 2021 to June 2022 were selected.According to the patients'wishes,80 patients were divided into observation group(40 cases)and control group(40 cases).The control group was given routine nursing,and the observation group was given stairway thinking nursing on the basis of the control group.Liver function,quality of life before and after nursing and postoperative recovery were compared between the two groups.Result:After nursing,the levels of aspartate transaminase(AST),alanine transaminase(ALT)and total bilirubin(TBIL)were decreased in both groups,the AST,ALT and TBIL levels in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After nursing,the scores of physical function,role function and emotional function of the two groups were increased,and the scores of physical function,role function and emotional function of the observation group were higher than those of the control group,the differences were statistically significant(P<0.05).The recovery time of bowel sound,defecation time,exhaust time and getting out of bed time in the observation group were significantly earlier than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Stairway thinking nursing can effectively improve the liver function of patients with liver cancer surgery,improve the postoperative recovery effect and the quality of life of patients.

关 键 词：肝癌 阶梯思维护理 手术 肝功能 术后恢复 生活质量 

分 类 号：R473.73[医药卫生—护理学]