摘要
目的:探讨健康信念指导下的中西医结合优质护理干预在原发性肝癌肝动脉化疗栓塞(TACE)术后的依从性和治疗效果,为护理人员开展优质护理提供依据。方法:选取2015年1月至2016年6月于我院肿瘤介入科行TACE治疗的220例原发性肝癌患者为研究对象,对照组在健康信念指导下给予西医常规护理,干预组在健康信念指导下给予中西医结合优质护理,分别于出院前1天、随访6月采用QLICP-LI量表对两组躯体功能、心理功能、社会功能、共性状态和副作用、临床症状、全身表现、并发症、副作用、特异心理方面进行评分,并评价依从性。结果:对照组在出院前1天、随访6月依从性比较差异无统计学意义(P=0.369),干预组在出院前1天、随访6月依从性比较差异有统计学意义(P=0.011);干预组随访6月依从性明显优于对照组(P=0.045);两组随访6月在躯体功能、心理功能、社会功能、共性状态和副作用、临床症状、全身表现、特异心理方面评分均高于出院前1天(P<0.05),在并发症、副作用方面两组组内比较差异无统计学意义(P>0.05);随访6月干预组在躯体功能、心理功能、社会功能、共性状态和副作用、临床症状、全身表现等方面评分均高于对照组(P<0.05)。结论:以健康信念指导下的中西医结合优质护理干预为原发性肝癌TACE术患者树立了健康信念,提高了生命质量,其依从性高,值得推广应用。
Objective:In order to discuss the compliance and therapeutic effect by the quality nursing intervention of Chinese and western medicine under the guidance of health belief in the treatment of primary liver cancer after TACE,and provide a basis for quality care for nursing staff.Methods:A total of 220 PLC patients who underwent TACE treatment in our hospital from January 2015 to June 2016 were enrolled in the study.The control group was given routine medical care under the guidance of health beliefs.The intervention group was given Chinese and western medicine under the guidance of health beliefs.Combined with quality nursing,QLICP-LI was used in 1 day before discharge and 6 months follow-up.The scores of physical function,psychological function,social function,commonality and side effects,clinical symptoms,systemic manifestations,complications,side effects,and specific psychology of the two groups were measured by QLICP-LI.Further more,compliance was evaluated.Results:There was no significant difference in compliance between the control group a day before discharge and after 6 months of followed up(P=0.369).The compliance of the intervention group was statistically significant between day before discharge and 6 months follow-up(P=0.011).The compliance of the intervention group was significantly better than that of the control group(P=0.045) after 6 months of follow-up.The scores of physical function,psychological function,social function,common state and side effects,clinical symptoms,systemic performance,and specific psychology in the two groups after 6 months’ follow up were higher than those a day before discharge(P<0.05).There was no statistically significant difference between the two groups in complications and side reactions(P>0.05).After 6 months of follow-up,the scores of physical function,psychological function,social function,common state and side effects,clinical symptoms,and systemic performance in the intervention group were all higher than those in the control group(P<0.05).Conclusion:Under the guidance of health belief,the quality nursing intervention of integrated traditional Chinese and western medicine has established the health belief and improved the quality of life for patients with primary liver cancer after TACE,which is worthy of promotion and application due to its high compliance.
作者
刘翠
赵艳
Liu Cui;Zhao Yan(Digestive Catheter Room,Affiliated Hospital of Yan'an University,Shaanxi Yan'an 716000,China;Department of Tumor Interventional,Affiliated Hospital of Yan'an University,Shaanxi Yan'an 716000,China.)
出处
《现代肿瘤医学》
CAS
2019年第22期4018-4022,共5页
Journal of Modern Oncology
基金
陕西省教育厅自然科学研究项目(编号:2013JK0782)
