优质干预措施在肝癌动脉介入栓塞及灌注化疗术患者中的应用效果及对生活质量的影响  

Application effect of high quality intervention in patients with liver cancer underwent interventional artery embolization and regional arterial infusion chemotherapy and its impact on quality of life

作　　者：陆云红 万丽丽 纪付红 LU Yunhong;WAN Lili;JI Fuhong(Interventional Room,Qinhuai Medical District of General Hospital of Eastern Theater Command,Jiangsu,Nanjing 210002,China)

机构地区：[1]中国人民解放军东部战区总医院秦淮医疗区介入室,南京市210002

出　　处：《河北医药》2024年第7期1066-1069,共4页Hebei Medical Journal

基　　金：东部战区总医院军事医学面上项目(编号:YYMS2021023)。

摘　　要：目的探讨优质干预措施在肝癌动脉介入栓塞及灌注化疗术患者中的应用效果及对患者生活质量的影响。方法选取2020年5月至2021年5月收治的150例行动脉介入栓塞及灌注化疗术的肝癌患者为研究对象,所有患者随机分为2组,对照组75例,观察组75例,对照组患者给予常规干预措施,观察组患者则采用优质干预措施,比较2组患者的干预效果。结果干预前2组的汉密顿抑郁量表(HAMD)和汉密尔顿焦虑量表(HAMA)评分比较,差异均无统计学意义(P>0.05);干预后观察组的HAMD和HAMA评分低于对照组,差异有统计学意义(P<0.05)。干预后,2组HAMD和HAMA评分均低于干预前,差异有统计学意义(P<0.05)。观察组的生活质量评价量表-36得分均高于对照组,差异均有统计学意义(P<0.05)。观察组的治疗依从性均高于对照组,差异均有统计学意义(P<0.05)。观察组的术后并发症发生率为8.00%,低于对照组的34.67%,差异有统计学意义(P<0.05)。观察组的护理满意度为97.33%,高于对照组的73.33%,差异有统计学意义(P<0.05)。结论优质干预措施用于肝癌动脉介入栓塞及灌注化疗术患者中,干预效果理想,能提高患者的生活质量。Objective To explore the application effect of high quality intervention in patients with liver cancer(LC)underwent interventional artery embolization and regional arterial infusion chemotherapy and its impact on quality of life.Methods From May 2020 to May 2021,totally 150 LC patients who underwent interventional artery embolization and regional arterial infusion chemotherapy admitted to our hospital were randomly assigned into the control group(n=75)and the observation group(n=75),in which they received routine intervention and high quality intervention,respectively.The aim was to compare intervention effects.Results The difference was not statistically significant in the scores of Hamilton Depression Rating Scale(HAMD),Hamilton Anxiety Rating Scale(HAMA)between groups before intervention(P>0.05).The HAMD and HAMA scores in the two groups after intervention were significantly lower than those before intervention,which were significantly lower in the observation group than in the control group(P<0.05).After intervention,the 36-item Short-Form Health Survey(SF-36)scores increased notably in the observation group compared with the control group(P<0.05).The treatment compliance was significantly higher in the observation group than in the control group(P<0.05).The postoperative morbidity in the observation group was significantly lower than that in the control group(8.00%vs 34.67%,P<0.05,respectively).The nursing satisfactory degree in the observation group was significantly higher than that in the control group(97.33%vs 73.33%,P<0.05,respectively).Conclusion For LC patients underwent interventional artery embolization and regional arterial infusion chemotherapy,high quality intervention has an ideal intervention effect and which can improve the quality of life.

关 键 词：优质干预 肝癌 动脉介入栓塞 化疗 

分 类 号：R735.7[医药卫生—肿瘤]