CAJ | 학술논문

[目的]探讨延续性护理对原发性肝癌射波刀治疗后病人生活质量的影响。[方法]选取符合诊断标准的肝癌病人212例，随机分为观察组107例和对照组105例，对照组射波刀治疗后给予常规护理，观察组在此基础上实施延续性护理，两组于出院前1周(干预前)、出院后3个月(干预后)采用0~10数字疼痛强度分级法(NRS)和总体幸福感量表(GWB)、体力状况量表(ECOG)以及肿瘤病人生活质量量表(QOL)对病人进行评估并比较。[结果]观察组干预后 NRS 评分及 ECOG 评分较干预前明显降低，而 GWB 评分及 QOL 评分较干预前明显升高(P <0.05)；对照组干预后 ECOG 评分及 NRS 评分也有一定改善(P <0.05)，但较观察组差。两组干预后 NRS 评分、ECOG 评分、GWB 评分及 QOL 评分比较差异均有统计学意义(P <0.05或 P <0.01)。[结论]出院后延续护理可有效减轻射波刀治疗后病人的疼痛程度、促进病人体能的恢复，病人的自我护理能力得到了提高，同时可有效提高病人的总体幸福感及生活质量。
[목적]탐토연속성호리대원발성간암사파도치료후병인생활질량적영향。[방법]선취부합진단표준적간암병인212례，수궤분위관찰조107례화대조조105례，대조조사파도치료후급여상규호리，관찰조재차기출상실시연속성호리，량조우출원전1주(간예전)、출원후3개월(간예후)채용0~10수자동통강도분급법(NRS)화총체행복감량표(GWB)、체력상황량표(ECOG)이급종류병인생활질량량표(QOL)대병인진행평고병비교。[결과]관찰조간예후 NRS 평분급 ECOG 평분교간예전명현강저，이 GWB 평분급 QOL 평분교간예전명현승고(P <0.05)；대조조간예후 ECOG 평분급 NRS 평분야유일정개선(P <0.05)，단교관찰조차。량조간예후 NRS 평분、ECOG 평분、GWB 평분급 QOL 평분비교차이균유통계학의의(P <0.05혹 P <0.01)。[결론]출원후연속호리가유효감경사파도치료후병인적동통정도、촉진병인체능적회복，병인적자아호리능력득도료제고，동시가유효제고병인적총체행복감급생활질량。
Objective:To probe into the influence of continuity of care on the quality of life of patients with pri-mary liver cancer after CyberKnife treatment.Methods:A total of 212 patients with liver cancer meeting the di-agnostic criteria were selected and randomly divided into observation group(107 cases)and control group(105 cases).The patients in control group received routine nursing after CyberKnife treatment,besides that the pa-tients in observation group received continuity of care.The patients in both groups were evaluated and compared with 0~10 digital pain intensity score(NRS),GWB,ECOG and QOL of cancer patients respectively in a week before discharging(before intervention)and 3 months after discharging(after intervention).Results:The NRS and ECOG score of liver cancer patients in observation group after intervention were significantly lower than that before intervention,and the GWB score and QOL score were significantly higher (P < 0.05 );while the ECOG score and NRS score in control group after intervention were also improved(P <0.05).After interven-tion,there was statistically significant difference in NRS score,ECOG score,GWB score and QOL score between both groups(P <0.05 or P <0.01).Conclusion:After discharging,continuity of care can effectively reduce the pain of patients after CyberKnife treatment,promote the recovery of patients’physical fitness,and improve the self care ability of patients,at the same time can effectively enhance the general well being and quality of life of patients.