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目的 探析肝癌经导管肝动脉化疗栓塞(TACE)术后患者疼痛护理中应用集束化护理的应用效果及心理干预价值.方法 分组研究本科室在2015年2月～2020年12月收治的116例肝癌TACE术后患者,采取常规护理与集束化护理的两组患者分别为对照组与观察组,比较两组患者疼痛数字评分法(NRS)评分、焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分差异,比较睡眠质量、生活质量评分.结果 观察组患者术后24 h、48 h的NRS评分为4.05±0.66分、3.39±0.35分,与对照组相比较低,P＜0.05.相比于对照组,观察组SAS、SDS评分35.66±2.37分、36.84±2.49分,优势更加明显,P＜0.05.观察组入睡时间0.91±0.17分、睡眠时间0.95±0.27分、睡眠深度0.98±0.23分、夜醒次数1.01±0.22分,与对照组相比,差异有统计学意义,P＜0.05.从生理、心理、情绪、社会4方面功能看,观察组生活质量评分明显优于对照组,P＜0.05.结论 肝癌TACE术后患者疼痛护理中应用集束化护理效果理想,疼痛得到了有效缓解,睡眠质量与生活质量改善效果好,心理干预价值更高.“,”Objective To analyze the application effect and psychological intervention value of cluster nursing in patients with liver cancer after transcatheter arterial chemoembolization (TACE). Methods Group study of 116 patients with liver cancer after TACE in the undergraduate room from February 2015 to December 2020. The two groups of patients who took conventional care and clustered care were the control group and the observation group. The scores of the two groups were compared in numerical rating scale (NRS), self-rating anxiety scale (SAS), and self-rating depression scale(SDS), and compare sleep quality and quality of life scores. Results The NRS scores of patients in the observation group were 4.05±0.66 points and 3.39±0.35 points at 24 h and 48 h after surgery, which were lower than those of the control group, P＜0.05. Compared with the control group, the SAS and SDS scores of the observation group were 35.66±2.37 points and 36.84±2.49 points, the advantages were more obvious, P＜0.05. In the observation group, the time to fall asleep was 0.91±0.17 points, the sleep time was 0.95±0.27 points, the depth of sleep was 0.98±0.23 points, and the number of night awakenings was 1.01±0.22 points. Compared with the control group, the difference was statistically significant, P＜0.05. From the perspective of physical, psychological, emotional, and social functions, the quality of life score of the observation group was significantly better than that of the control group, P＜0.05. Conclusion The effect of clustered nursing care for patients with liver cancer after TACE is satisfactory, the pain is effectively relieved, the sleep quality and quality of life are improved, and the value of psychological intervention is higher.