CAJ | 학술논문

目的探讨连续护理模式对肝癌介入(TACE)术后患者进行护理的临床效果.方法选取58例TACE术后患者,随机分为对照组和实验组,各29例.对照组给予常规护理,实验组在对照组的基础上采用连续护理模式进行护理干预,采用SF-36量表比较两组患者的生活质量,并比较干预前后护理满意度.结果两组患者干预前生活质量各因子差异无统计学意义(P＞0.05)；干预后实验组生活质量各因子中躯体功能(52.5±17.5)分、躯体角色(52.9±16.2)分、身体疼痛(53.0±17.3)分、生命力(56.1±15.7)分、情感角色(31.9±15.2)分,与干预前比较差异有统计学意义(t值分别为4.099,4.803,2.688,2.849,2.724;P＜0.01)；对照组干预前后生活质量各因子无变化,其中躯体功能(70.8±12.3)分,与实验组比较差异有统计学意义(t=4.607,P＜0.01).干预后实验组护理满意度(34.13±5.25)分,对照组(26.51±4.86)分,两组比较差异有统计学意义(t=5.181,P＜0.01).结论连续护理模式能有效提高TACE术后患者生活质量以及护理质量.
목적 탐토련속호리모식대간암개입(TACE)술후환자진행호리적림상효과.방법 선취58례TACE술후환자,수궤분위대조조화실험조,각29례.대조조급여상규호리,실험조재대조조적기출상채용련속호리모식진행호리간예,채용SF-36량표비교량조환자적생활질량,병비교간예전후호리만의도.결과 량조환자간예전생활질량각인자차이무통계학의의(P＞0.05)；간예후실험조생활질량각인자중구체공능(52.5±17.5)분、구체각색(52.9±16.2)분、신체동통(53.0±17.3)분、생명력(56.1±15.7)분、정감각색(31.9±15.2)분,여간예전비교차이유통계학의의(t치분별위4.099,4.803,2.688,2.849,2.724;P＜0.01)；대조조간예전후생활질량각인자무변화,기중구체공능(70.8±12.3)분,여실험조비교차이유통계학의의(t=4.607,P＜0.01).간예후실험조호리만의도(34.13±5.25)분,대조조(26.51±4.86)분,량조비교차이유통계학의의(t=5.181,P＜0.01).결론 련속호리모식능유효제고TACE술후환자생활질량이급호리질량.
Objective To investigate and evaluate the clinical effect of continued nursing on liver cancer patients undergone transcatheter arterial chemoembolization (TACE).Methods A total of 58 patients were selected and randomly divided into control group and experimental group with 29 patients in each group.Patients in the control group were given routine nursing,and patients in experimental group were given continued nursing based on routine nursing.The patients' quality of life using the SF-36 and patients satisfaction with nursing were evaluated and compared between the two groups before and after nursing intervention.Results The scores in all factors of life quality of patients were no statistically significant difference between the two groups before nursing intervention (P ＞ 0.05).In the experimental group,the scores of physical function,rolephysical,body pain,vitality and role-emotionai in all factors of life quality of patients were (52.5 ± 17.5),(52.9 ± 16.2),(53.0 ± 17.3),(56.1 ± 15.7) and (31.9 ± 15.2) after nursing intervention,respectively,the difference was statistically significant compared with before nursing intervention (t =4.099,4.803,2.688,2.849,2.724,respectively; P ＜ 0.01).While there were no statistically significant difference in the control group before and after nursing intervention on the scores in all factors of life quality.After nursing intervention,the scores of physical function in the control group was (70.8 ± 12.3),and the difference in the scores of physical function was statistically significant compared with the control groups (t =4.607,P ＜ 0.01).After nursing intervention,the score of patients satisfaction with nursing in the experimental group was (34.13 ± 5.25),which was higher than (26.51 ±4.86) in control group the difference was statistically significant (t =5.181,P ＜ 0.01).Conclusions Continued nursing can help to improve patients' quality of life and patients satisfaction with nursing after TACE.