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目的探讨延续护理对肝癌患者术后康复的影响。方法选取2013年1月至2016年1月间海南省五指山市第二人民医院行开腹肝切除术的76例原发性肝癌患者,采用随机数字表法分为研究组与对照组,每组38例。研究组患者在常规术后护理的基础上给予延续护理干预,对照组患者给予常规术后护理。对比两组患者出院时与出院6个月后的身心康复效果。结果研究组患者出院6个月后抑郁自评量表评分为(31.3±5.2)分、焦虑自评量表评分为(30.5±8.5)分和疼痛数字评分法评分为(3.5±1.5)分,均低于对照组患者的(45.9±5.3)分、(44.5±7.5)分和(4.8±2.2)分,差异均有统计学意义(均P<0.05)。两组患者出院时上述评分差异均无统计学意义(均P>0.05)。研究组患者生命质量量表评分为(56.6±5.6)分,高于对照组患者的(48.5±5.6)分,差异有统计学意义(P<0.05)。结论延续护理对肝癌术后患者身心康复具有积极地促进作用,适于临床推广。
Objective To investigate the effect of extended nursing on the postoperative recovery of patients with liver cancer. Methods From January 2013 to January 2016, 76 patients with primary hepatocellular carcinoma who underwent open hepatectomy undergoing open hepatectomy in Second People’s Hospital of Wuzhishan, Hainan Province were divided into study group and control group by random number table. Each group 38 cases. Patients in the study group were given continuous nursing intervention on the basis of conventional postoperative care and patients in the control group were given routine postoperative care. The physical and psychological rehabilitation effects of both groups after discharge and 6 months after discharge were compared. Results The self-rating depression scale (31.3 ± 5.2), the anxiety scale (30.5 ± 8.5) and the pain number scale score (3.5 ± 1.5) were significantly lower in the study group than those in the study group at 6 months after discharge. (45.9 ± 5.3), (44.5 ± 7.5) and (4.8 ± 2.2) points in the control group, the difference was statistically significant (all P <0.05). There was no significant difference between the two groups when discharged from hospital (all P> 0.05). The score of quality of life in the study group was (56.6 ± 5.6) points higher than that in the control group (48.5 ± 5.6), the difference was statistically significant (P <0.05). Conclusion Extended nursing has a positive effect on physical and psychological rehabilitation of postoperative patients with liver cancer and is suitable for clinical promotion.