摘要
【目的】探究肝癌介入术后疼痛影响因素,并提出其针对护理方案,观察具体实施效果。【方法】随机选取2019年6月~2020年11月于我院接受肝动脉化疗栓塞术治疗的原发性肝癌患者共80例,通过随机数字表法分为观察组和对照组各40例;对照组患者术后接受常规疼痛护理,观察组患者通过成立护理工作小组,综合分析出术后疼痛可能存在的影响因素并给予术后疼痛针对护理,比较两组患者最终护理疗效并分析。【结果】术后肝癌患者:肝血流量(HBF)、肝血容积(HBV)以及平均血运时间(MTT)明显低于术前,差异具有统计学意义(P<0.05);HBF、HBV、MTT、焦虑自评量表(SAS)、抑郁自评量表(SDS)、白介素-6(IL-6)、白介素-8(IL-8)、肿瘤坏死因子-α(TNF-α)水平均是影响患者疼痛的独立影响因素(P<0.05),毛细管表面渗透率(PS)与患者疼痛无明显相关性(P>0.05);术前以及护理前(术后)两组患者疼痛程度、SAS、SDS评分及血清炎性因子水平无显著差异(P>0.05);护理后观察组VAS、SAS、SDS评分及血清炎性因子水平显著低于对照组(P<0.05)。【结论】肝脏血运、炎症反应及患者心理状态是影响其肝癌介入术后疼痛的影响因素,对其进行针对性护理能有效缓解患者不良情绪,降低患者机体炎性因子水平,缓解患者疼痛。
【Objective】To investigate the influential factors of pain after interventional intervention for liver cancer,and to propose a nursing plan to observe the specific implementation effect.【Methods】A total of 80 patients with primary liver cancer who underwent transcatheter arterial chemoembolization in our hospital from June 2019 to November 2020 were randomly selected.They were divided into observation group and control group by random number table method.Patients in the observation group received routine pain care after operation.The observation group patients established a nursing working group to comprehensively analyze the possible influencing factors of postoperative pain and give postoperative pain targeted care.Compare and analyze the final nursing efficacy of the two groups of patients.【Results】Patients with liver cancer after operation:liver blood flow(HBF),liver blood volume(HBV),and mean blood transport time(MTT)were significantly lower than before surgery,the differences were statistically significant(P<0.05);HBF,HBV,MTT,Self-rating anxiety scale(SAS),self-rating depression scale(SDS),interleukin-6(IL-6),interleukin-8(IL-8),tumor necrosis factor-α(TNF-α)levels are Independent factors affecting patient pain(P<0.05),capillary surface permeability(PS)had no significant correlation with patient pain(P>0.05);pain levels,SAS,There were no significant differences in SDS scores and serum inflammatory factor levels(P>0.05);VAS,SAS,SDS scores,and serum inflammatory factor levels in the observation group were significantly lower than those in the control group(P<0.05).【Conclusion】Liver blood flow,inflammatory response,and patient's psychological state are the influential factors that affect the pain of patients with liver cancer after intervention.Targeted nursing can effectively alleviate the adverse emotions of patients,reduce the level of inflammatory factors in patients,and relieve pain in patients.
作者
张静
王红娟
叶瑞
ZHANG Jing;WANG Hong-juan;YE Rui(Department of Academic Medicine,Second Affiliated Hospital of Air Force Military Medical University,Xi'an,Shaanxi 710000,China)
出处
《武警后勤学院学报（医学版）》
CAS
2021年第8期57-60,78,共5页
Journal of Logistics University of PAP（Medical Sciences）
关键词
肝癌
介入手术
术后疼痛
影响因素
针对护理
liver cancer
interventional surgery
postoperative pain
influencing factors
targeted nursing
