CAJ | 학술논문

目的：探讨首次行肝动脉插管化疗栓塞术（TACE）的原发性肝癌患者接受围术期心理干预对其治疗依从性和耐受度的影响。方法选取100例患者随机分为对照组和干预组，对照组行常规护理，干预组在此基础上实施心理干预。采用抑郁自评量表（SDS）和焦虑自评量表（SAS）评定患者手术前后焦虑和抑郁评分，并记录患者术中发生恶心、呕吐以及血压、心率变化情况。结果干预组患者术后焦虑评分降低，患者的恶心、呕吐症状显著较对照组轻，术中舒张压、心率显著低于对照组，差异有统计学意义（P ＜0．05）。2组抑郁评分差异无统计学意义（P ＞0．05）。结论在常规围术期护理的基础上叠加心理干预可以明显提高原发性肝癌患者的治疗依从性和耐受度。
목적：탐토수차행간동맥삽관화료전새술（TACE）적원발성간암환자접수위술기심리간예대기치료의종성화내수도적영향。방법선취100례환자수궤분위대조조화간예조，대조조행상규호리，간예조재차기출상실시심리간예。채용억욱자평량표（SDS）화초필자평량표（SAS）평정환자수술전후초필화억욱평분，병기록환자술중발생악심、구토이급혈압、심솔변화정황。결과간예조환자술후초필평분강저，환자적악심、구토증상현저교대조조경，술중서장압、심솔현저저우대조조，차이유통계학의의（P ＜0．05）。2조억욱평분차이무통계학의의（P ＞0．05）。결론재상규위술기호리적기출상첩가심리간예가이명현제고원발성간암환자적치료의종성화내수도。
Objective To explore the effect of psychological intervention on compliance and tolerance for the primary liver cancer patients who first performed TACE in the perioperative. Methods A total of 100 were randomly divided into control group and intervention group,which were respectively used routine nursing and psychological intervention.The anxiety and depression scores of patients in the perioperative period trough Self-Rating Depression scale (SDS)and Self-Rating Anxiety Scale (SAS)were assessed,and patients’nausea and vomiting symptoms,blood pressure and heart rate changes in operative period were recorded.Results SAS was lower in the intervention group,and nausea and vomiting symptoms alleviated significantly compared with the control group after operation.Intraoperative blood pressure and?heart rate was significantly lower than that of the control group(P <0.05).SDS was no significant difference between the two groups(P >0.05).Conclusion Psychological intervention and routine nursing can improve the treatment compliance and tolerance of patients with primary liver cancer.