Yuan Yuan, Li Yiwan, Yang Guoxia, Zhang Li, Ye Jin
Department of Catheterization-Room, Tianchang Traditional Chinese Medicine Hospital, Chuzhou 239300, Anhui, China.
Department of Oncology, Tianchang Traditional Chinese Medicine Hospital, Chuzhou 239300, Anhui, China.
Evid Based Complement Alternat Med. 2022 Aug 5;2022:6862463. doi: 10.1155/2022/6862463. eCollection 2022.
To examine the efficacy of a complete nursing strategy during the perioperative phase for patients undergoing interventional treatment for hepatocellular cancer.
Sixty patients who were diagnosed with liver cancer and underwent interventional therapy in our hospital between February 2019 and December 2021 were recruited in this trial. All study subjects were numbered according to the time when the patients first came to our hospital, and were equally divided into a comprehensive group and a conventional group based on the odd and even number of the last number, with 30 cases in each group. Those in the conventional group received conventional nursing care, whereas patients in the comprehensive group received comprehensive nursing care. Before and after the nursing intervention, the quality of life, pain, and patient satisfaction in both groups were compared.
The quality of survival scores, including physical, emotional, role, social, and cognitive function scores of patients in the comprehensive group, were significantly higher than those in the conventional group ( < 0.05); there was no statistically significant difference in numeric rating scales (NRS) scores between the two groups compared before treatment ( > 0.05). After treatment, the NRS scores of patients in the study group were significantly lower than those of patients in the control group ( < 0.05); before the intervention, the difference between the emotional state scores of patients in the two groups was not significant and not statistically significant ( > 0.05), while the emotional state of patients in both groups improved after the intervention, and the Self-Rating Anxiety Scale (SAS) and the Self-Rating Depression Scale (SDS) scores of patients in the comprehensive group were lower than those in the conventional group ( < 0.05); the total incidence of adverse reactions in the comprehensive group (10.00%) was significantly lower than that in the conventional group (46.67%) ( < 0.05); and the total satisfaction of patients in the comprehensive group (93.33%) was significantly higher than that of patients in the conventional group (73.33%) ( < 0.05).
The intervention of a comprehensive nursing approach in the perioperative period for patients with liver cancer is remarkable as it can relieve patients' psychological burden and pain, ensure a smooth operation, improve patients' postoperative quality of life, and also help to reduce the risk of postoperative adverse reactions, effectively enhancing patients' satisfaction, and thus deserves to be promoted in clinical practice.
探讨围手术期全程护理策略对肝细胞癌介入治疗患者的疗效。
选取2019年2月至2021年12月在我院诊断为肝癌并接受介入治疗的60例患者纳入本试验。所有研究对象按首次来我院时间编号，根据末位数字奇偶性等分为综合组和常规组，每组30例。常规组接受常规护理，综合组接受综合护理。比较两组护理干预前后的生活质量、疼痛情况及患者满意度。
综合组患者的生存质量评分，包括生理、情感、角色、社会和认知功能评分，均显著高于常规组（P<0.05）；治疗前两组数字分级量表（NRS）评分比较差异无统计学意义（P>0.05）。治疗后，研究组患者的NRS评分显著低于对照组（P<0.05）；干预前，两组患者的情绪状态评分差异无统计学意义（P>0.05），干预后两组患者情绪状态均改善，且综合组患者的自评焦虑量表（SAS）和自评抑郁量表（SDS）评分低于常规组（P<0.05）；综合组不良反应总发生率（10.00%）显著低于常规组（46.67%）（P<0.05）；综合组患者总满意度（93.33%）显著高于常规组（73.33%）（P<0.05）。
围手术期对肝癌患者实施综合护理干预效果显著，可减轻患者心理负担和疼痛，确保手术顺利进行，提高患者术后生活质量，还有助于降低术后不良反应风险，有效提高患者满意度，值得临床推广应用。
