论文部分内容阅读
目的:研究肝癌介入治疗患者实施延续性护理的效果。方法:将2017年11月至2018年3月在复旦大学附属中山医院肝肿瘤内科接受介入治疗的肝癌患者78例。采用随机对照的方法分成观察组和对照组,各39例。对照组实施介入术常规护理,观察组实施延续性护理。比较两组患者生活质量、自我效能感、希望水平、非计划再入院率的差别。结果:观察组肝癌患者生命质量总分和自我管理效能得分在出院后1个月、3个月、6个月、9个月高于对照组,差异有统计学意义(均n P<0.05)。观察组希望指数出院后3个月、6个月、9个月高于对照组,差异有统计学意义(均n P<0.05)。观察组非计划性再入院率低于对照组,差异有统计学意义(n P<0.05)。n 结论:对肝癌介入治疗患者实施延续性护理,能提高患者生活质量、自我效能感及希望感,降低非计划再入院率。“,”Objective:To study the effect of continuous care for patients with interventional treatment of liver cancer.Methods:A total of 78 patients with liver cancer who received interventional therapy in the department of hepatic oncology from November 2017 to March 2018 were enrolled.The patients were divided into observation group and control group by the method of random control, with 39 cases in each group.The control group received routine interventional nursing, while the observation group received continuous nursing.The difference of quality of life, self-efficacy, level of hope and unplanned readmission rate between the two groups were compared.Results:The total score of life quality and self-management efficacy in observation group were higher than those in control group at 1, 3, 6 and 9 months after discharge, and the differences were statistically significant (n P<0.05). The hope index of the observation group was higher than that of the control group at 3, 6 and 9 months after discharge, and the difference was statistically significant (n P<0.05). The rate of unplanned readmission in the observation group was lower than that in the control group, and the difference was statistically significant (n P<0.05).n Conclusions:Continuing care for patients with interventional treatment of liver cancer can improve their quality of life, sense of self-efficacy and hope, and reduce the rate of unplanned readmission.