渗透亲情护理结合早期活动干预对原发性肝癌切除术患者心理状态、自我效能及术后恢复的影响  

Effects of penetrating family nursing combined with early activity intervention on psychological state,self-efficacy and postoperative recovery in patients with primary hepatocellular carcinoma resection

作　　者：齐利杰 董蓓 QI Lijie;DONG Bei(Department of Hepatobiliary Pancreatic Surgery,Affiliated Cancer Hospital of Zhengzhou University(Henan Cancer Hospital),Zhengzhou 450003,China)

机构地区：[1]郑州大学附属肿瘤医院(河南省肿瘤医院)肝胆胰外科,河南郑州450003

出　　处：《延边大学医学学报》2025年第1期147-150,共4页Journal of Medical Science Yanbian University

摘　　要：目的:分析渗透亲情护理结合早期活动干预对原发性肝癌切除术患者心理状态、自我效能及术后恢复的影响。方法:选择2020年9月至2022年9月于郑州大学附属肿瘤医院行原发性肝癌切除术的98例患者作为研究对象,按照随机数字表法分为对照组(49例)与研究组(49例)。对照组应用常规护理干预,研究组应用渗透亲情护理结合早期活动干预,比较两组患者的心理状态[抑郁自评量表(SDS)、焦虑自评量表(SAS)评分]、术后恢复情况(首次排气、肠鸣音恢复、首次排便、引流管拔除时间)以及自我效能水平。结果:干预后,研究组SAS、SDS评分均低于对照组(P<0.05);研究组术后首次排气、肠鸣音恢复、首次排便及引流管拔除时间均短于对照组(P<0.05);研究组自我效能自评量表各维度评分及总分均高于对照组(P<0.05)。结论:渗透亲情护理结合早期活动干预可改善原发性肝癌切除术患者的心理状态,缩短术后恢复时间,提升自我效能水平。Objective:To analyze the effects of penetrating family nursing combined with early activity intervention on psychological state,self-efficacy and postoperative rehabilitation in patients undergoing resection of primary hepatocellular carcinoma.Methods:A total of 98 patients who underwent primary hepatocellular carcinoma resection in Affiliated Cancer Hospital of Zhengzhou University from September 2020 to September 2022 were selected and divided into a control group and a study group according to random number table method,with 49 cases in each group.The control group was treated with routine nursing intervention,while the study group was treated with penetrating family care combined with early activity intervention.The psychological state[self-rating depression scale(SDS),self-rating anxiety scale(SAS)],postoperative recovery(the first exhaust time,recovery time of bowel sound,the first defecation time,removal time of drainage tube)and self-efficacy in the two groups were compared.Results:After intervention,firstly,scores of SAS and SDS in study group were lower than those in control group(P<0.05).Then,the first exhaust and defecation time,recovery time of bowel sound and removal time of drainage tube were shorter than those in control group(P<0.05).Finally,the dimensions and total score of the self-efficacy self-assessment scale in the study group were higher than those in the control group(P<0.05).Conclusion:Penetrating family nursing combined with early activity intervention can improve psychological state,shorten postoperative recovery time and effectively improve self-efficacy in patients undergoing resection of primary hepatocellular carcinoma.

关 键 词：原发性肝癌 手术 渗透亲情护理 早期活动干预 心理状态 自我效能 

分 类 号：R473[医药卫生—护理学]