肝癌患者介入治療中人文關懷護理對患者肝功能及預后的影響

胡天蘭　何芳

【摘要】 目的：探討肝癌患者介入治療中人文關懷護理對患者肝功能及預后的影響。方法：選取2017年11月-2019年11月筆者所在醫院收治的80例肝癌患者作為臨床觀察對象，根據入院先后順序分為對照組（n=40）和觀察組（n=40）。對照組給予常規護理，觀察組在常規護理基礎上給予人文關懷護理，比較兩組轉氨酶、膽紅素、蛋白質，HAMD/HAMA、PSQI、SSRS評分及并發癥發生率。結果：護理前兩組谷丙轉氨酶、總膽紅素、堿性磷酸酶比較差異無統計學意義（P>0.05），護理后觀察組各指標均低于對照組，差異均有統計學意義（P<0.05）;護理前兩組HAMD/HAMA、PSQI、SSRS評分比較差異均無統計學意義（P>0.05），護理后觀察組HAMD/HAMA、PSQI評分均低于對照組，SSRS評分高于對照組，差異均有統計學意義（P<0.05）;觀察組并發癥總發生率為7.50%，低于對照組的30.00%，差異有統計學意義（P<0.05）。結論：將人文關懷護理模式用于肝癌患者護理中，效果顯著，能有效改善患者焦慮、抑郁情緒，降低并發癥發生率，提高患者睡眠質量，值得推廣應用。

【關鍵詞】 肝癌 人文關懷 肝功能 預后影響 護理模式

doi：10.14033/j.cnki.cfmr.2020.16.033 文獻標識碼 B 文章編號 1674-6805（2020）16-00-03

The Influence of Humanistic Care Nursing on Liver Function and Prognosis of Patients with Liver Cancer in Interventional Therapy/HU Tianlan， HE Fang. //Chinese and Foreign Medical Research， 2020， 18（16）： -86

[Abstract] Objective： To explore the influence of humanistic care nursing on liver function and prognosis of patients with liver cancer in interventional therapy. Method： Eighty patients with liver cancer who were treated in our hospital from November 2017 to November 2019 were selected as clinical observation objects. They were divided into control group （n=40） and observation group （n=40） according to the admission to hospital in sequence order. The control group was given conventional nursing treatment， and the observation group was involved in humanistic nursing care treatment on the basis of conventional care. After treatment， the effect of the patients was evaluated， and the aminotransferase， bilirubin， protein， HAMD / HAMA， PSQI， and SSRS scores， and the incidence of complications of the two groups were compared. Result： There was no statistically significant difference in alanine aminotransferase， total bilirubin and alkaline phosphatase between the two groups before nursing （P>0.05）. After nursing， all the indexes in the observation group were lower than those in the control group， the differences were statistically significant （P<0.05）. There was no statistically significant difference in HAMD/HAMA， PSQI and SSRS scores between the two groups before the nursing （P>0.05）. After nursing， the HAMD/HAMA and PSQI scores in the observation group were lower than those in the control group， and SSRS score was higher than that in the control group， the differences were statistically significant （P<0.05）. The total incidence of complications in the observation group was 7.50%， which was lower than 30.00% in the control group， the difference was statistically significant （P<0.05）. Conclusion： The application of humanistic care nursing mode in the nursing of patients with liver cancer has significant effect， can effectively reduce the incidence of anxiety， depression and complications， and improve the sleep quality of patients with liver cancer， which is worth popularizing.

[Key words] Liver cancer Humanistic care Liver function Prognosis Nursing mode

First-authors address： Tianyou Hospital， Wuhan University of Science and Technology， Wuhan 430064， China

肝癌是臨床上常見的惡性腫瘤之一，并且近年來的發病率逐年提升，多發于中年齡段人群，且多發于男性。最常見的是原發性肝癌，病源發生在肝臟的上皮細胞和肝臟間隙組織，引發疾病的病因尚不明確，發病因素與乙型肝炎病毒感染及免疫力低、所處的環境和不良習慣、飲食有關系。臨床表現可見肝區刺痛或脹痛、全身乏力、身體消瘦、食欲不振、腹疼腹脹，還有可能引起消化道疾病、進行性肝大，嚴重者肝癌向肺、胃等器官轉移[1]。本疾病具有治療后復發率較高、發病惡性程度較高、進程較快的特點，嚴重威脅著患者的生命及影響患者及家屬生活質量，所以中年以上人群要加強防范意識，如果有肝疼或者身體消瘦情況，及時到醫院檢查，有助于確診，并接受治療。人文……