摘要
目的探讨精准护理模式对原发性肝癌肝动脉灌注化疗(HAIC)患者的护理效果。方法选取2022年1月至9月普宁市人民医院肝胆外科的84例行HAIC原发性肝癌患者作为研究对象,按照随机数字表法分为对照组(42例)和观察组(42例)。对照组采用常规护理,观察组在对照组的基础上采用精准护理模式。比较两组患者的术后不良反应总发生率、匹兹堡睡眠质量指数(PSQI)评分、健康知识总知晓率及护理总满意度。结果术后,观察组患者的不良反应总发生率、睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、睡眠药物、日间功能障碍评分及PSQI总分低于对照组,差异有统计学意义(P<0.05);观察组患者的健康知识总知晓率高于对照组,差异有统计学意义(P<0.05)。观察组患者的护理总满意度高于对照组,差异有统计学意义(P<0.05)。结论精准护理模式对行HAIC治疗的原发性肝癌患者护理效果较好,能减轻患者不良反应的发生,改善患者的睡眠,增加患者对健康知识的了解,提高患者的护理满意度,适合临床推广。
Objective To explore the nursing effect of precise nursing mode on patients with primary hepatic carcinoma undergoing hepatic artery infusion chemotherapy(HAIC).Methods A total of 84 patients with primary hepatic carcinoma who underwent HAIC in the Department of Hepatobiliary Surgery,Puning People's Hospital from January to September 2022 were selected as the research subjects,they were divided into control group(42 cases)and observation group(42 cases)according to the random number table method.The control group was given routine nursing,while the observation group was given precise nursing mode on the basis of the control group.The total incidence of postoperative adverse reactions,the Pittsburgh sleep quality index(PSQI)score,the total awareness rate of health knowledge and the total satisfaction of nursing were compared between the two groups.Results Postoperative,the total incidence of adverse reactions,sleep quality,falling asleep time,sleep time,sleep efficiency,sleep disorder,sleep drugs,daytime dysfunction score and PSQI total score of patients in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).The total awareness rate of health knowledge in the observation group was higher than that in the control group,the difference was statistically significant(P<0.05).The total nursing satisfaction of the observation group patients was higher than that of the control group,the difference was statistically significant(P<0.05).Conclusion The precise nursing model has a good nursing effect on primary hepatic carcinoma patients undergoing HAIC treatment,reducing the occurrence of adverse reactions,improving patients'sleep,increasing their understanding of health knowledge and improving their nursing satisfaction.It is suitable for clinical promotion.
作者
曾纯
陈柳婷
陈星星
陈香
王锦祥
张卓敏
ZENG Chun;CHEN Liuting;CHEN Xingxing;CHEN Xiang;WANG Jinxiang;ZHANG Zhuomin(Department of Hepatobiliary Surgery,Puning People's Hospital,Puning,515300,China;Department of craniocerebral surgery,Puning People's Hospital,Puning,515300,China;Department of Nursing,Puning People's Hospital,Puning,515300,China)
出处
《中国当代医药》
CAS
2023年第24期182-185,189,共5页
China Modern Medicine
基金
广东省揭阳市卫生医疗科技创新项目(揭科字〔2022〕32号)。
关键词
精准护理模式
原发性肝癌
肝动脉灌注化疗
效果评价
Precise nursing mode
Primary hepatic carcinoma
Hepatic artery infusion chemotherapy
Outcome evaluation
