超细化护理干预在肝内胆管癌术后化疗患者中的应用  

Effect of refined nursing management on relieving the negative emotions of patients undergoing chemotherapy after surgical excision of intrahepatic cholangiocarcinoma

作　　者：房树恒 朱恒美 周静 FANG Shuheng;ZHU Hengmei;ZHOU Jing(Department of Anesthesiology,Third Affiliated Hospital of Naval Medical University,Shanghai,200438;Special Treatment Clinic,Third Affiliated Hospital of Naval Medical University,Shanghai,200438;Department of Radiology Intervention,Third Affiliated Hospital of Naval Medical University,Shanghai,200438)

机构地区：[1]海军军医大学第三附属医院麻醉科,上海200438 [2]海军军医大学第三附属医院特需诊疗科,上海200438 [3]海军军医大学第三附属医院放射介入科,上海200438

出　　处：《中西医结合护理》2024年第8期50-54,共5页Chinese Journal of Integrative Nursing

基　　金：2021年上海市“医苑新星”人才培养资助计划项目;海军军医大学第三附属医院军事培育课题(2021JSYX001);海军军医大学深蓝护理课题(2022KYG39);海军军医大学第三附属医院腾飞工程人才项目(202429)。

摘　　要：目的探究超细化护理干预在肝内胆管癌术后化疗患者中的应用。方法选取医院2023年1月—2024年1月收治的182例肝内胆管癌术后化疗患者为本次研究对象,采用随机数字表法分为对照组(n=91)和试验组(n=91)。对照组进行常规护理,试验组在常规护理基础上增加超细化护理干预。比较两组患者负性情绪、疲乏程度、生活质量和护理满意度。结果干预后试验组患者焦虑自评量表(SAS)和抑郁自评量表(SDS)评分低于对照组,差异有统计学意义(P<0.01)。干预后试验组癌因性疲乏量表(CFS)评分低于对照组,差异有统计学意义(P<0.01)。干预后试验组健康状况调查简表(SF-36)评分高于对照组,差异有统计学意义(P<0.01)。试验组护理满意度高于对照组(P<0.05)。结论超细化护理干预能够帮助肝内胆管癌术后化疗患者改善负性情绪,减轻癌因性疲乏,提高生活质量,并通过亲情式细化服务提高患者满意度。Objective To investigate the effect of refined nursing management on relieving the negative emotions of patients undergoing chemotherapy after surgical excision of intrahepatic cholangiocarcinoma.Methods Totally 182 patients undergoing chemotherapy after surgical exci⁃sion of intrahepatic cholangiocarcinoma were randomly divided into the control group and study group,with 91 cases in each group.The control group received routine nursing management dur⁃ing treatment,and the study group received refined management based on the routine nursing in⁃terventions.The negative emotions,fatigue,quality of life and satisfaction with nursing service were measured and compared between two groups.Results Scores of Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)in the study group were lower than those in the control group after intervention(P<0.01).The Cancer Fatigue Scale(CFS)score in the study group were lower than that in the control group after intervention(P<0.01).The Short-Form 36-Item Questionnaire(SF-36)score in the study group was higher than that in the control group after intervention(P<0.01).The nursing satisfaction score in the study group was higher than that in the control group after intervention(P<0.05).Conclusion Refined nursing management is ef⁃fective to relieve the negative emotions and cancer-related fatigue of patients undergoing chemo⁃therapy after surgical excision of intrahepatic cholangiocarcinoma,improve patients’quality of life and satisfaction by kinship care.

关 键 词：超细化护理干预 肝内胆管癌 化疗 负性情绪 生活质量 

分 类 号：R473.73[医药卫生—护理学]