摘要
目的目的探讨基于循证理论的全程干预在肝癌经导管动脉栓塞化疗(TACE)患者中的应用效果。方法方法根据干预方式的不同将185例行TACE治疗的肝癌患者分为对照组(n=92,常规干预)和观察组(n=93,基于循证理论的全程干预)。比较两组患者的心理状态[焦虑自评量表(SAS)和抑郁自评量表(SDS)]、疼痛程度[数字分级评分法(NRS)]、生活质量[生活质量量表(QOL)]及并发症发生情况。结果结果干预后,两组患者SAS、SDS评分均低于本组干预前,观察组患者SAS、SDS评分均低于对照组,差异均有统计学意义(P﹤0.05)。术后2、4、8 h,两组患者NRS评分均低于本组术前,观察组患者NRS评分均低于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者QOL评分均高于本组干预前,观察组患者QOL评分高于对照组,差异均有统计学意义(P﹤0.05)。观察组患者的并发症总发生率低于对照组(P﹤0.05)。结论结论基于循证理论的全程干预应用于肝癌TACE治疗患者,可减轻疼痛程度,改善心理状态,提高生活质量,降低并发症发生率。
Objective To explore the application effect of whole-course intervention based on evidence-based theory in patients with liver cancer undergoing transcatheter arterial chemoembolization(TACE).Method A total of 185 liver cancer patients who received TACE treatment were divided into control group(n=92,conventional intervention)and ob-servation group(n=93,whole-course intervention based on evidence-based theory)according to different intervention methods.The psychological status[self-rating anxiety scale(SAS)and self-rating depression scale(SDS)],pain degree[numerical rating scale(NRS)],quality of life[quality of life scale(QOL)]and complications were compared between the two groups.Result After intervention,the SAS and SDS scores in the two groups were lower than those before interven-tion,and the SAS and SDS scores in observation group were lower than those in control group,and the differences were statistically significant(P<0.05).At 2,4 and 8 h after surgery,the NRS scores in the two groups were lower than those be-fore surgery,and the NRS scores in observation group were lower than those in control group,and the differences were statistically significant(P<0.05).After intervention,the QOL scores in the two groups were higher than those before inter-vention,and the QOL score in observation group was higher than that in control group,and the differences were statisti-cally significant(P<0.05).The total incidence of complications in observation group was lower than that in control group(P<0.05).Conclusion Whole-course intervention based on evidence-based theory can reduce pain degree,improve psy-chological state and quality of life,reduce complications in liver cancer patients undergoing TACE.
作者
窦晓雅
卢瑞杰
苏冰
杨凯
门翔
DOU Xiaoya;LU Ruijie;SU Bing;YANG Kai;MEN Xiang(Department of Infection,Nanyang Central Hospital,Nanyang 473000,He’nan,China;Department of Respiratory Medicine,Nanyang Central Hospital,Nanyang 473000,He’nan,China)
出处
《癌症进展》
2024年第9期1011-1014,共4页
Oncology Progress
基金
河南省2022年科技发展计划项目(222102310528)。
关键词
循证理论
全程干预
肝癌
经导管动脉栓塞化疗
应用效果
evidence-based theory
whole-course intervention
liver cancer
transcatheter arterial chemoemboliza-tion
application effect
