肝癌微波消融术患者全程式个体化护理模式干预的效果研讨

摘要

目的 探究肝癌微波消融术患者全程式个体化护理模式干预的效果.方法 选取我院2013年1月至2015年1月收治的86例肝癌患者作为研究对象,所有患者均采取肝癌微波消融术治疗,并采用随机数字表法将患者分为实验组和对照组各43例,对照组患者采取常规护理干预,实验组患者予以全程式个体化护理模式干预.对比两组患者术后并发症情况,采用生活质量核心量表(QOL-C30)评估患者治疗后生活质量,采用汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评估患者护理前后心理状态,采用本院自制护理满意度调查问卷评估患者对护理的满意程度.结果 实验组患者术后出现1例(2.33％)并发症,对照组出现7例(16.28％),实验组并发症率明显低于对照组,差异有统计学意义(P＜0.05).两组患者护理前HAMA、HAMD评分对比差异无统计学意义(P＞0.05),护理后两组评分均明显改善,且实验组评分显著优于对照组,差异有统计学意义(P＜0.01).实验组护理干预后QOL-C30评分及护理总满意率显著优于对照组,差异有统计学意义(P＜0.05).结论 肝癌微波消融术患者采取全程式个体化护理模式干预可显著提升护理水平,降低术后并发症发生率,改善患者心理状态,提升患者生活质量,且患者满意度高,具有极高临床推广以及应用价值.%Objective To explore the effect of complete individualized nursing mode intervention for patients with liver cancer undergoing microwave ablation.Methods 86 patients with liver cancer in our hospital from January 2013 to January 2015 were selected as the research object,all patients were treated with microwave ablation of liver cancer,and divided into experimental group (43 cases) and control group (43 cases) according to the random number table method.Control group was given conventional nursing intervention,while experimental group was given complete individualized nursing mode intervention.Compared postoperative complications of two groups,assessed the quality of life of patients after treatment with the quality of life core scale (QOL-C30),evaluated psychological status of patients before and after nursing with Hamilton anxiety scale (HAMA) and Hamilton depression scale (HAMD),and assessed patients' nursing satisfaction with self-made nursing satisfaction questionnaire of our hospital.Results The incidence of postoperative complications in experimental group was significantly lower than that in control group (2.33％ vs.16.28％),with statistically significant difference (P＜0.05).There were no statistically significant differences in HAMA score and HAMD score between two groups before nursing (P＞0.05),HAMA score and HAMD score in two groups significantly improved after nursing,those in experimental group were significantly better than those in control group,with statistically significant differences (P＜0.01).QOL-C30 score and nursing satisfaction in experimental group after nursing were significantly better than those in control group,with statistically significant differences (P＜0.05).Conclusions Complete individualized nursing mode intervention for patients with liver cancer undergoing microwave ablation can significantly enhance the level of nursing care,reduce the incidence of postoperative complications,improve psychological status and the quality of life of patients,with high patients' satisfaction,with very high value of clinical popularization and application.