摘要
目的:观察家庭参与式护理肝癌经导管动脉栓塞化疗患者中的应用效果。方法:选取2021年3月至2022年3月该院收治的72例肝癌经导管动脉栓塞化疗患者进行前瞻性研究,按照随机数字表法将其分为观察组与对照组各36例。对照组采用常规护理,观察组在对照组基础上采用家庭参与式护理,比较两组营养指标(转铁蛋白、白蛋白)水平、T细胞亚群指标(CD4^(+)、CD4^(+)/CD8^(+))水平、Connor-Davidson心理弹性量表(CD-RISC)评分、汉密尔顿抑郁量表(HAMD)评分和胃肠道不适症状发生率。结果:护理后,两组转铁蛋白、白蛋白等营养指标水平和CD4^(+)、CD4^(+)/CD8^(+)等T细胞亚群指标水平,以及CD-RISC评分高于护理前,且观察组高于对照组,两组HAMD评分低于护理前,且观察组低于对照组,差异均有统计学意义(P<0.05);观察组胃肠道不适症状发生率为2.78%,明显低于对照组的22.22%,差异有统计学意义(P<0.05)。结论:在常规护理基础上采用家庭参与式护理可提高肝癌经导管动脉栓塞化疗患者营养指标水平、T细胞亚群指标水平和CD-RISC评分,以及降其HAMD评分和胃肠道不适症状发生率,效果优于单纯常规护理。
Objective:To observe application effects of family participatory nursing in patients with liver cancer undergoing transcatheter arterial chemoembolization.Methods:A prospective study was conducted on 72 patients with liver cancer who underwent transcatheter arterial chemoembolization in this hospital from March 2021 to March 2022.According to the random number table method,they were divided into observation group and control group,36 cases in each group.The control group was given routine nursing,while the observation group was given the family participatory nursing on the basis of that of the control group.The levels of nutrition indexes(transferrin,albumin)and T cell subsets(CD4^(+),CD4^(+)/CD8^(+)),the Connor-Davidson resilience scale(CD-RISC)score,the Hamilton depression scale(HAMD)score,and the incidence of gastrointestinal discomfort symptoms were compared between the two groups.Results:After the nursing,the levels of nutrition indexes such as transferrin and albumin,the levels of T cell subsets such as CD4^(+)and CD4^(+)/CD8^(+);the CD-RISC scores of the two groups were higher than those before the nursing,and that in the observation group was higher than that in the control group;the HAMD scores of the two groups were lower than those before the nursing,and that in the observation group was lower than that in the control group;and the differences were statistically significant(P<0.05).The incidence of gastrointestinal discomfort in the observation group was 2.78%,which was significantly lower than 22.22%in the control group,and the difference was statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the family participatory nursing can improve the nutrition index levels,the T cell subgroup index levels and the CD-RISC scores of the patients with liver cancer treated by transcatheter arterial chemoembolization,and reduce the HAMD scores and the incidence of gastrointestinal discomfort.Moreover,it is superior to single routine nursing.
作者
窦琳
DOU Lin(Interventional Operating Room of Xinxiang First People’s Hospital,Xinxiang 453000 Henan,China)
出处
《中国民康医学》
2024年第11期163-165,共3页
Medical Journal of Chinese People’s Health
关键词
家庭参与式护理
肝癌
介入治疗
营养指标
心理弹性
汉密尔顿抑郁量表
胃肠道不适症状
Family participatory nursing
Liver cancer
Interventional therapy
Nutrition index
Psychological resilience
Hamilton depression scale
Gastrointestinal discomfort symptom
