孙逊

摘要：目的  研究人性化护理对肝癌患者CT引导下射频消融术后负性情绪、生活质量的影响。方法  选取我院自2016年8月～2017年8月收治的接受CT引导下射频消融术治疗的68例肝癌患者，按随机数字表法分为对照组35例和干预组33例。对照组采取常规护理干预，干预组则采取人性化护理干预，比较两组护理前后负性情绪及生活质量改善情况。结果  护理后，干预组SAS评分为（45.78±0.71）分、SDS评分为（19.65±0.81）分，均低于对照组的（53.55±0.82）分、（23.67±0.89）分，差异具有统计学意义（P<0.05）;护理后，两组生活质量评分均上升，且干预组高于对照组[（93.64±3.11）分 vs （89.61±5.07）分]，差异有统计学意义（P<0.05）。结论  对接受CT引导下射频消融术治疗的肝癌患者，采取人性化护理干预可有效缓解其负性情绪，提高生活质量。

关键词：肝癌;射频消融术;人性化护理

Abstract：Objective  To study the effects of humanized nursing on negative emotion and quality of life after CT-guided radiofrequency ablation in patients with liver cancer.Methods  A total of 68 patients with liver cancer who underwent CT-guided radiofrequency ablation from August 2016 to August 2017 were enrolled. According to the random number table， 35 patients in the control group and 33 patients in the intervention group. The control group received routine nursing intervention， and the intervention group took humanized nursing intervention to compare the negative emotion and quality of life improvement before and after treatment.Results  After nursing， the SAS score of the intervention group was （45.78±0.71） and the SDS score was （19.65±0.81）， which was lower than the control group （53.55±0.82） and （23.67±0.89），the difference was statistically significant（P<0.05）; after treatment， the quality of life scores of both groups increased， and the intervention group was higher than the control group [（93.64±3.11） points vs （89.61±5.07） points]， the difference was statistically significant（P<0.05）.Conclusion  Humanized nursing intervention for patients with liver cancer treated by CT-guided radiofrequency ablation can effectively alleviate their negative emotions and improve their quality of life.

Key words：Liver cancer;Radiofrequency ablation;Humanized nursing

肝癌（liver cancer）是一種肝脏类恶性肿瘤疾病，病发后表现为黄疸、肿大、下肢水肿、腹水等，且常伴有肝肾衰竭、肝癌破裂出血、上消化道出血等并发症，对患者生活及健康均造成严重影响[1]。现阶段临床治疗肝癌疾病多以射频消融术治疗为主，并取得一定治疗效果。但由于患者受疾病困扰，再加之对手术缺乏认知，易引起焦虑、抑郁等情绪，不仅影响其治疗效果，还不利于疾病预后。因此，对于射频消融术肝癌患者采取针对性护理尤其重要。本研究重点探讨了人性化护理对肝癌患者CT引导下射频消融术后负性情绪、生活质量的影响，现报道如下。

1资料与方法

1.1一般资料  选取佳木斯市肿瘤结核医院自2016年8月～2017年8月收治的接受CT引导下射频消融术治疗的68例肝癌患者作为研究对象。纳入标准：①均经病理检查确诊;②无认知、听力、表达功能障碍。排除标准：①妊娠、哺乳妇女;②合并严重心、肾、肺功能障碍者;③凝血功能异常者;④既往有精神疾病史者。……