医学信息
醫學信息
의학신식
MEDICAL INFORMATION
2014年
27期
38-39
,共2页
肝癌%介入治疗%纽曼系统护理模式%焦虑
肝癌%介入治療%紐曼繫統護理模式%焦慮
간암%개입치료%뉴만계통호리모식%초필
Liver cancer%Intervention treatment%Newman system model of care%Anxiety
目的探讨纽曼系统护理模式对肝癌患者介入术前焦虑及术后不良反应的影响。方法将86例确诊的肝癌患者在准备介入治疗前随机分为干预组和对照组，干预组应用纽曼系统护理模式进行护理，对照组用常规护理措施，两组均在术前、术后用汉密尔顿焦虑量表(HAMA)进行评分，对术后不良反应发生率、住院时间以及患者及家属对护理工作的满意度进行调查。结果治疗前几乎所有患者均有焦虑情绪，治疗后干预组患者焦虑程度明显改善，差异有显著统计学意义(<0.001)。干预组术后不良反应发生率明显低于对照组，发热、恶心呕吐、肝区胀痛、局部渗血的发生率两组差异有统计学意义(<0.05)。干预组平均住院时间低于对照组，患者及家属对护理工作的满意度高于对照组，差异有统计学意义(<0.05)。结论纽曼系统护理模式应用于肝癌介入患者，有助于患者以稳定状态配合介入治疗，减少术后不良反应，有助于患者恢复而提高疗效，缩短住院天数，提高满意度。
目的探討紐曼繫統護理模式對肝癌患者介入術前焦慮及術後不良反應的影響。方法將86例確診的肝癌患者在準備介入治療前隨機分為榦預組和對照組，榦預組應用紐曼繫統護理模式進行護理，對照組用常規護理措施，兩組均在術前、術後用漢密爾頓焦慮量錶(HAMA)進行評分，對術後不良反應髮生率、住院時間以及患者及傢屬對護理工作的滿意度進行調查。結果治療前幾乎所有患者均有焦慮情緒，治療後榦預組患者焦慮程度明顯改善，差異有顯著統計學意義(<0.001)。榦預組術後不良反應髮生率明顯低于對照組，髮熱、噁心嘔吐、肝區脹痛、跼部滲血的髮生率兩組差異有統計學意義(<0.05)。榦預組平均住院時間低于對照組，患者及傢屬對護理工作的滿意度高于對照組，差異有統計學意義(<0.05)。結論紐曼繫統護理模式應用于肝癌介入患者，有助于患者以穩定狀態配閤介入治療，減少術後不良反應，有助于患者恢複而提高療效，縮短住院天數，提高滿意度。
목적탐토뉴만계통호리모식대간암환자개입술전초필급술후불량반응적영향。방법장86례학진적간암환자재준비개입치료전수궤분위간예조화대조조，간예조응용뉴만계통호리모식진행호리，대조조용상규호리조시，량조균재술전、술후용한밀이돈초필량표(HAMA)진행평분，대술후불량반응발생솔、주원시간이급환자급가속대호리공작적만의도진행조사。결과치료전궤호소유환자균유초필정서，치료후간예조환자초필정도명현개선，차이유현저통계학의의(<0.001)。간예조술후불량반응발생솔명현저우대조조，발열、악심구토、간구창통、국부삼혈적발생솔량조차이유통계학의의(<0.05)。간예조평균주원시간저우대조조，환자급가속대호리공작적만의도고우대조조，차이유통계학의의(<0.05)。결론뉴만계통호리모식응용우간암개입환자，유조우환자이은정상태배합개입치료，감소술후불량반응，유조우환자회복이제고료효，축단주원천수，제고만의도。
Objective To investigate the af ection of Newman system model of care on preoperative anxiety and postoperative adverse reactions of liver cancer patients. Methods 86 cases diagnosed with liver cancer were randomly assigned to the intervention group and the control group before interventional treatment, the intervention group received Newman system model nursing care, the control group with conventional care, Hamilton anxiety Scale (HAMA) scores both groups at preoperative and postoperative, and investigated the incidence of adverse reactions after operative, hospitalization time and satisfaction of patients and families. Results Almost all patients had anxiety pretreatment, the intervention group improved more than the control group after treatment, the dif erence was statistical y significant ( <0.001). The incidence of adverse events in the intervention group were significantly lower than the control group, the dif erent of the incidence in fever, nausea, vomiting, liver pain and localized bleeding between the two groups was statistical y significant( <0.05). The average hospitalization time in the intervention group were less than the control group, patients and their families satisfaction on nursing were higher than the control group, the dif erence was statistical y significant ( <0.05). Conclusion Newman system model of care were useful in patients with intervention liver cancer, the model helps patients accept intervention treatment with more stable state, reduce postoperative adverse reactions, recover and improve ef icacy, shorter hospital time and improved satisfaction.
