基于4R危机管理理论的护理在原发性肝癌切除术患者中的应用效果  

Application effects of 4R crisis management theory-based nursing in patients with primary liver cancer undergoing resection surgery

作　　者：贾倩倩 JIA Qianqian(Operating Room of Department of Anesthesiology of Xuchang Central Hospital,Xuchang 461000 Henan,China)

机构地区：[1]许昌市中心医院手术麻醉部,河南许昌461000

出　　处：《中国民康医学》2025年第4期171-174,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察基于4R危机管理理论的护理在原发性肝癌(PHC)切除术患者中的应用效果。方法:回顾性分析2020年7月至2023年2月于该院行PHC切除术的92例患者的临床资料,按照护理方法不同将其分为观察组和对照组各46例。对照组实施常规护理,观察组在对照组基础上实施基于4R危机管理理论的护理。比较两组护理前后负性情绪[汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)]、生命质量[肝癌特异性生命质量量表(QOL-LCV 2.0)]评分,并发症发生率,以及护理满意度。结果:护理后,两组HAMA、HAMD评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为2.17%(1/46),低于对照组的17.39%(8/46),差异有统计学意义(P<0.05);护理后,两组QOL-LCV 2.0评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组护理满意度为95.65%(44/46),高于对照组的82.61%(38/46),差异有统计学意义(P<0.05)。结论:基于4R危机管理理论的护理应用于PHC切除术患者可降低负性情绪评分和并发症发生率,提高生命质量评分和护理满意度,效果优于常规护理。Objective:To observe application effects of 4R crisis management theory-based nursing in patients with primary liver cancer(PHC)undergoing resection surgery.Methods:The clinical data of 92 patients who underwent PHC resection in this hospital from July 2020 to February 2023 were retrospectively analyzed.According to different nursing methods,they were divided into observation group and control group,46 cases in each group.The control group was given routine nursing,while the observation group was given the 4R crisis management theory-based nursing on the basis of that of the control group.The scores of negative emotions[Hamilton anxiety scale(HAMA),Hamilton depression scale(HAMD)]and quality of life[liver cancer specific quality of life scale(QOL-LCV 2.0)]before and after the nursing,the incidence of complications,and the nursing satisfaction were compared between the two groups.Results:After the nursing,the HAMA and HAMD scores of the two groups were lower than those before the nursing,that in the observation group was lower than that in the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the observation group was 2.17%(1/46),which was lower than 17.39%(8/46)in the control group,and the difference was statistically significant(P<0.05).After the nursing,the QOL-LCV 2.0 scores of the two groups were higher than those before the nursing,that in the observation group was higher than that in the control group,and the differences were statistically significant(P<0.05).Further,the nursing satisfaction of the observation group was 95.65%(44/46),which was higher than 82.61%(38/46)of the control group,and the difference was statistically significant(P<0.05).Conclusions:The 4R crisis management theory-based nursing in the patients with PHC resection can reduce the negative emotion scores and the incidence of complications,and improve the quality of life scores and the nursing satisfaction.Moreover,it is superior to the routine nursing.

关 键 词：4R危机管理理论 护理 原发性肝癌 切除术 负性情绪 生命质量 并发症 

分 类 号：R473[医药卫生—护理学]