中国实用护理杂志
中國實用護理雜誌
중국실용호리잡지
Chinese Journal of Practical Nursing
2015年
23期
1782-1784
,共3页
肝肿瘤%经导管肝动脉化疗栓塞术%照护需求
肝腫瘤%經導管肝動脈化療栓塞術%照護需求
간종류%경도관간동맥화료전새술%조호수구
Liver neoplasms%Transcatheter hepatic artery chemoembolization%Care needs
目的 了解原发性肝癌患者行经导管肝动脉灌注化疗栓塞术(TACE)后家属的照护需求情况.方法 采用方便抽样法选取我院肝胆内二科2013年8月至2014年6月120例非首次行TACE的肝癌患者.采用自行设计问卷的形式,调查患者家属出院后照护需求,包括心理需求、护理需求及其他需求.采用多因素方差分析影响家属心理需求的独立因素.结果 患者家属照护需求维度中,心理需求得分最高,评分为(3.12±0.81)分;护理需求和其他需求分别为(3.04±0.56)分和(2.18±0.36)分.各需求条目中,了解癌痛处理需求得分最高,评分为(3.78±1.02)分;临终关怀和丧葬支持得分最低,评分为(1.27±0.38)分.教育程度、与患者关系是影响患者家属心理需求的独立因素,P＜0.05.结论 TACE后家属的照护需求中,心理需求应首先得到满足,需同时关注相关护理需求及其他需求;而家属的教育程度及与患者关系是影响患者家属心理需求的独立因素.
目的 瞭解原髮性肝癌患者行經導管肝動脈灌註化療栓塞術(TACE)後傢屬的照護需求情況.方法 採用方便抽樣法選取我院肝膽內二科2013年8月至2014年6月120例非首次行TACE的肝癌患者.採用自行設計問捲的形式,調查患者傢屬齣院後照護需求,包括心理需求、護理需求及其他需求.採用多因素方差分析影響傢屬心理需求的獨立因素.結果 患者傢屬照護需求維度中,心理需求得分最高,評分為(3.12±0.81)分;護理需求和其他需求分彆為(3.04±0.56)分和(2.18±0.36)分.各需求條目中,瞭解癌痛處理需求得分最高,評分為(3.78±1.02)分;臨終關懷和喪葬支持得分最低,評分為(1.27±0.38)分.教育程度、與患者關繫是影響患者傢屬心理需求的獨立因素,P＜0.05.結論 TACE後傢屬的照護需求中,心理需求應首先得到滿足,需同時關註相關護理需求及其他需求;而傢屬的教育程度及與患者關繫是影響患者傢屬心理需求的獨立因素.
목적 료해원발성간암환자행경도관간동맥관주화료전새술(TACE)후가속적조호수구정황.방법 채용방편추양법선취아원간담내이과2013년8월지2014년6월120례비수차행TACE적간암환자.채용자행설계문권적형식,조사환자가속출원후조호수구,포괄심리수구、호리수구급기타수구.채용다인소방차분석영향가속심리수구적독립인소.결과 환자가속조호수구유도중,심리수구득분최고,평분위(3.12±0.81)분;호리수구화기타수구분별위(3.04±0.56)분화(2.18±0.36)분.각수구조목중,료해암통처리수구득분최고,평분위(3.78±1.02)분;림종관부화상장지지득분최저,평분위(1.27±0.38)분.교육정도、여환자관계시영향환자가속심리수구적독립인소,P＜0.05.결론 TACE후가속적조호수구중,심리수구응수선득도만족,수동시관주상관호리수구급기타수구;이가속적교육정도급여환자관계시영향환자가속심리수구적독립인소.
Objective To investigate the family care needs in patients with primary hepatocellular carcinoma after transcatheter hepatic arterial chemoembolization (TACE).Methods One hundred and twenty patients of hepatocellular carcinoma with non first time of TACE were selected from August 2013 to June 2014 by convenience sampling method.Using a self designed questionnaire form,investigated patients' families care after discharge needs,including psychological demand,nursing requirements and other requirements.The independent factors affecting families psychological needs were analyzed by multi-factor analysis of variance.Results Patients' families care needs in dimensions,psychological demand was the highest score for (3.12±0.81) scores.Care requirements and other requirements were (3.04±0.56),(2.18±0.36) scores,respectively.Each demand entries,understand pain processing requirements was the highest score for (3.78 ±1.02) scores,hospice and funeral support was the lowest for (1.27±0.38) scores.Education degree,and patient relationship were independent factors affecting patients' families psychological demand,P＜0.05.Conclusions TACE reduces quality of life of patients,the role of families in the care of patients is also important.Care needs of families after TACE,the psychological demand should be satisfied first,required at the same time attention to relevant nursing requirements and other requirements;while education from families and relationships with patients are independent factors affecting the psychological needs of patients' family members.
