陶春燕 章燕红

[摘要] 目的 探讨肝癌介入化疗患者应用综合护理干预对心理状况、并发症及生活质量的影响。 方法 选取2015年2月～2018年3月期间本院收治的肝癌介入化疗患者52例为研究对象，根据入院先后顺序分为两组，研究组（n=26）和常规组（n=26），常规组给予普通护理，研究组则在此基础上给予综合护理，比较两种护理方式患者的不良情绪评分、生活质量评分、疼痛以及并发症情况。 结果 研究组HAMA评分、HAMD评分、NRS疼痛评分以及并发症发生率低于常规组，差异有统计学意义（P<0.05）;研究组生活质量评分高于常规组，差异有统计学意义（P<0.05）。 结论 肝癌介入化疗患者应用综合护理干预的效果显著优于普通护理，不仅有助于降低并发症发生率，还可以缓解患者痛苦和不良情绪，促进生活质量的提升。

[关键词] 综合护理;肝癌;介入化疗;焦虑;抑郁;生活质量

[中图分类号] R473.73          [文献标识码] B          [文章编号] 1673-9701（2019）18-0142-04

[Abstract] Objective To investigate the effects of comprehensive nursing intervention on psychological status， complications and quality of life in the patients with liver cancer undergoing interventional chemotherapy. Methods A total of 52 patients with liver cancer undergoing interventional chemotherapy who were admitted to our hospital from February 2015 to March 2018 were selected as study subjects. According to the order of admission， they were divided into two groups， the study group（n=26） and the regular group（n=26）. The regular group was given general nursing care， and the study group was given comprehensive nursing care on this basis. The adverse emotional scores， quality of life scores， pain conditions， and complications were compared and analyzed between the patients receiving the two nursing methods. Results The HAMA score， HAMD score， NRS pain score and complication rate in the study group were lower than those in the conventional group， and the differences were statistically significant（P<0.05）; the quality of life score in the study group was higher than that in the conventional group， and the difference was statistically significant（P<0.05）. Conclusion The effect of comprehensive nursing intervention in the patients with liver cancer undergoing interventional chemotherapy is significantly better than that of general care， which not only helps to reduce the incidence rate of complications， but also alleviates the pain and negative moods of patients and promotes the improvement of quality of life.

[Key words] Comprehensive nursing care; Liver cancer; Interventional chemotherapy; Anxiety; Depression; Quality of life

原發性肝癌发病初期无显著临床症状，确诊时通常在晚期，该疾病具有较高的死亡率[1]。对于现今医学治疗方式来说，原发性肝癌最佳非手术治疗方法则是介入化疗，但此种治疗方式会引起术后疼痛，给患者心理产生负面影响，同时也会出现不同程度的并发症[2，3]，导致患者生活质量的下降。因此，需要给予患者有效的护理干预措施，以巩固介入化疗效果，缓解患者痛苦，改善心理状态，提高患者生活质量。本研究选取2015年2月～2018年3月期间本院收治的52例肝癌介入化疗患者，探讨肝癌介入化疗患者应用综合护理干预对心理状况、并发症及生活质量产生的影响。现报道如下。

1 资料与方法

1.1 一般资料

选取2015年2月～2018年3月期间本院收治的符合纳入标准的肝癌介入化疗患者52例为研究对象。纳入标准：患者神志清楚，能配合治疗，均符合《原发性肝癌的临床诊断与分期标准》[4]，且接受介入化疗，并征得患者知情同意。……