三维质控护理措施对肝癌经导管动脉化学栓塞治疗患者的护理质量及预后的影响
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摘要
目的分析三维质控护理措施对肝癌经导管动脉化学栓塞(TACE)治疗患者的护理质量及预后的影响。方法选取本院收治的接受TACE治疗的肝癌患者80例进行研究。经数字随机方法将其分成对照组与研究组,每组各40例。对照组选择常规护理,研究组选择三维质控护理措施,护理后3个月比较临床护理效果。结果研究组护理总满意度为97. 50%,显著高于对照组的75. 00%(P <0. 05)。与对照组相比,研究组的各项生存质量评分(睡眠质量、心理状态、社会功能、认知功能以及身体功能)均显著提高(P <0. 05)。研究组不良反应发生率为7. 50%,显著低于对照组的27. 50%(P <0. 05)。结论为接受TACE治疗的肝癌患者提供三维质控护理措施,能减少不良反应,显著提高患者护理质量、生存质量及预后。
Objective To analyze the effect of three-dimensional quality control nursing measures on the nursing quality and prognosis of hepatocellular carcinoma patients treated by transcatheter arterial chemoembolization( TACE). Methods A total of 80 patients with hepatocellular carcinoma treated by TACE in our hospital were selected for the study,and were randomly divided into control group and research group,with 40 cases in each group. The control group was given routine nursing,while the research group was given three-dimensional quality control nursing. The clinical nursing effect was observed and compared after three months of nursing. Results The nursing satisfaction in the study group was significantly higher than that in the control group( 97. 50% vs.75. 00%,P < 0. 05). Compared with the control group,the quality of life scores( sleep quality,psychological status,social function,cognitive function and physical function) of the study group were significantly improved( P < 0. 05). The incidence of adverse reactions in the study group was significantly lower than that in the control group( 7. 50% vs. 27. 50%,P < 0. 05). Conclusion Threedimensional quality control nursing measures for patients with hepatocellular carcinoma treated by TACE can reduce adverse reactions,significantly improve the quality of nursing and patients' quality of life,and significantly enhance the prognosis of patients.
Objective To analyze the effect of three-dimensional quality control nursing measures on the nursing quality and prognosis of hepatocellular carcinoma patients treated by transcatheter arterial chemoembolization( TACE). Methods A total of 80 patients with hepatocellular carcinoma treated by TACE in our hospital were selected for the study,and were randomly divided into control group and research group,with 40 cases in each group. The control group was given routine nursing,while the research group was given three-dimensional quality control nursing. The clinical nursing effect was observed and compared after three months of nursing. Results The nursing satisfaction in the study group was significantly higher than that in the control group( 97. 50% vs.75. 00%,P < 0. 05). Compared with the control group,the quality of life scores( sleep quality,psychological status,social function,cognitive function and physical function) of the study group were significantly improved( P < 0. 05). The incidence of adverse reactions in the study group was significantly lower than that in the control group( 7. 50% vs. 27. 50%,P < 0. 05). Conclusion Threedimensional quality control nursing measures for patients with hepatocellular carcinoma treated by TACE can reduce adverse reactions,significantly improve the quality of nursing and patients' quality of life,and significantly enhance the prognosis of patients.
引文
[1]吕晓菲,申雯.整体护理干预在95例原发性肝癌中晚期患者经皮肝动脉化疗栓塞术治疗中的应用观察[J].中国药物与临床,2019,19(6):1003-1005.
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[5]吕艳,范云霞.精细护理干预在肝癌肝动脉插管化疗栓塞术患者中的应用效果[J].护理实践与研究,2017,14(24):111-112.
[6]李蕊.应用保护动机理论的综合护理干预肝动脉化疗栓塞术后的效果分析[J].中国老年保健医学,2017,15(5):124-126.
[7]胡晓晓,姜金霞,邓瑶,等.综合护理干预对经皮肝动脉化疗栓塞介入治疗肝癌患者的效果[J].实用临床医药杂志,2017,21(12):91-93,97.
[8]李佳昕,唐文皓,张铭光.循证护理在减少肝癌TACE术后并发症中的应用研究[J].实用临床医药杂志,2017,21(6):65-67.
[9]赵莲风,金小清,张爱华,等.优质护理对经动脉化疗栓塞术治疗肝癌患者生活质量的影响[J].实用临床医药杂志,2016,20(22):156-157.
[10]杜金玲.循证护理在肝癌介入栓塞术后并发症中的应用效果观察[J].中国医药指南,2016,14(16):237-237.
[11]廖旭嘉,张莉,李巧云,等.肝癌患者术后三级质控下早期离床活动疗效观察[J].中国肝脏病杂志:电子版,2015,7(3):144-146.
[12]张伟伟,张洪花.综合护理干预在肝癌患者TACE围术期疼痛护理管理中的临床应用效果[J].中国老年保健医学,2018,16(2):109-111.
[13]林丽.中晚期原发性肝癌肝动脉栓塞化疗术围术期的护理干预及效果观察[J].临床医药文献电子杂志,2018,5(69):83-84.
[14]林雪棉,郑淑华.疼痛强化管理在原发性肝癌患者肝动脉化疗栓塞术后肝区疼痛中的应用效果观察[J].护理实践与研究,2017,14(8):91-93.
[15]卢永华.护理干预经肝动脉化疗栓塞术治疗原发性肝癌38例临床观察[J].中国社区医师:医学专业,2013,29(1):297-298.
[2]庄琳旎,顾红.基于奥马哈系统的护理对肝癌介入栓塞治疗患者的影响[J].上海护理,2018,18(10):49-51.
[3]胡文英.舒适护理在肝癌介入栓塞术后患者并发症预防中的应用[J].全科护理,2018,16(16):1989-1990.
[4]华正博,孙巧琳,李艳.临床护理路径在肝癌患者肝动脉化疗栓塞术中的应用效果[J].海峡预防医学杂志,2018,24(1):108-110.
[5]吕艳,范云霞.精细护理干预在肝癌肝动脉插管化疗栓塞术患者中的应用效果[J].护理实践与研究,2017,14(24):111-112.
[6]李蕊.应用保护动机理论的综合护理干预肝动脉化疗栓塞术后的效果分析[J].中国老年保健医学,2017,15(5):124-126.
[7]胡晓晓,姜金霞,邓瑶,等.综合护理干预对经皮肝动脉化疗栓塞介入治疗肝癌患者的效果[J].实用临床医药杂志,2017,21(12):91-93,97.
[8]李佳昕,唐文皓,张铭光.循证护理在减少肝癌TACE术后并发症中的应用研究[J].实用临床医药杂志,2017,21(6):65-67.
[9]赵莲风,金小清,张爱华,等.优质护理对经动脉化疗栓塞术治疗肝癌患者生活质量的影响[J].实用临床医药杂志,2016,20(22):156-157.
[10]杜金玲.循证护理在肝癌介入栓塞术后并发症中的应用效果观察[J].中国医药指南,2016,14(16):237-237.
[11]廖旭嘉,张莉,李巧云,等.肝癌患者术后三级质控下早期离床活动疗效观察[J].中国肝脏病杂志:电子版,2015,7(3):144-146.
[12]张伟伟,张洪花.综合护理干预在肝癌患者TACE围术期疼痛护理管理中的临床应用效果[J].中国老年保健医学,2018,16(2):109-111.
[13]林丽.中晚期原发性肝癌肝动脉栓塞化疗术围术期的护理干预及效果观察[J].临床医药文献电子杂志,2018,5(69):83-84.
[14]林雪棉,郑淑华.疼痛强化管理在原发性肝癌患者肝动脉化疗栓塞术后肝区疼痛中的应用效果观察[J].护理实践与研究,2017,14(8):91-93.
[15]卢永华.护理干预经肝动脉化疗栓塞术治疗原发性肝癌38例临床观察[J].中国社区医师:医学专业,2013,29(1):297-298.