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为探讨认知护理干预对肝癌患者术后恢复的影响,本研究选取接受肝癌手术患者150例为观察对象,其中接受认知护理干预的患者84例,为观察组,接受普通护理的患者66例,为对照组。观察患者的疾病不确定感、疼痛程度、焦虑与抑郁(SAS与SDS)、生活质量和睡眠质量,评价认知干预对患者的影响。研究发现两组患者护理前疾病不确定感、SAS和SDS评分、睡眠质量和生活质量均无显著差异;护理后,观察组的疾病不确定感、SAS和SDS评分均极显著低于对照组(p<0.01),而睡眠质量和生活质量均显著高于对照组(p<0.01),观察组中度疼痛和重度疼痛患者明显少于对照组。研究表明认知护理干预有助于肝癌患者术后的恢复。
Abstract：To explore the effect of cognitive nursing intervention on postoperative recovery in patients with liver cancer, in this study, a total of 150 patients who received liver cancer surgery were selected as the observation subjects. 84 patients who received cognitive nursing intervention were selected as the observation group, and 66 patients received general care were selected as control group. The effect of cognitive intervention on patients was evaluated by observing the uncertainty of disease, the degree of pain, anxiety and depression(SAS and SDS), quality of life and quality of sleep of patients. It was found that there was no significant difference in uncertainty in illness,SAS and SDS scores, sleep quality and life quality between the two groups. After nursing, the uncertainty in illness,SAS and SDS scores of the observation group were significantly lower than that of the control group(p<0.01), and sleep quality and life quality were extremely significantly higher than that of the control group(p<0.01). The patients with moderate and severe pain in the observation group were significantly less than those in the control group. The study showed that cognitive nursing intervention could contribute to postoperative recovery in patients with liver cancer.
Bruix J.,and Sherman M.,2011,Management of hepatocellular carcinoma:an update,Journal of Gastrointestinal Surgery,53(3):1020-1022
Chen W.,Wang J.B.,Abnet C.C.,Dawsey S.M.,Fan J.H.,Yin L.Y.,Yin J.,Taylor P.R.,Qiao Y.L.,and Freedman N.D.,2015,Association between C-reactive protein,incident liver cancer,and chronic liver disease mortality in the Linxian Nutrition Intervention Trials:a nested case-control study,Cancer Epidemiol.Biomarkers Prev.,24(2):386-392
Chen Y.,Cai Q.N.,Chen L.X.,and Yan L.M.,2015,Efficacy of cognitive therapy in intervention patient care therapy in liver cancer,Zhongguo Weisheng Biaozhun Guanli(China Health Standard Management),7(28):205-206(陈莹,蔡秋妮,陈丽雪,颜丽明,2015,认知疗法在肝癌介入治疗患者护理中的作用,中国卫生标准管理,7(28):205-206)
de Lope C.R.,Tremosini S.,Forner A.,Reig M.,and Bruix J.,2012,Management of HCC,J.Hepatol.,56(1):S75-S87
Hiroshima Y.,Shuto K.,Yamazaki K.,Yamazaki K.,Kawaguchi D.,Yamada M.,Kikuchi Y.,Kasahara K.,Murakami T.,Hirano A.,Mori M.,Kosugi C.,Matsuo K.,Ishida Y.,Koda K.,and Tanaka K.,2016,Fractal dimension of Tc-99m DTPAGSA estimates pathologic liver injury due to chemotherapy in liver cancer patients,Ann.Surg.Oncol.,23(13):4384-4391
Hoshida Y.,Fuchs B.C.,and Tanabe K.K.,2012,Prevention of hepatocellular carcinoma:potential targets,experimental models,and clinical challenges,Wuhan University Press,Wuhan,China,pp.1129-1159
Keating G.M.,and Santoro A.,2009,Sorafenib:a review of its use in advanced hepatocellular carcinoma,Drugs,69(2):223-240
Lv J.,Chen S.X.,Li J.M.,Li C.L.,Liu S.Y.,and Pang X.P.,2015,The effects of cognitive dysfunction on the quality of life in patients with hepatocellular carcinoma and the corresponding nursing strategies,Zhongguo Linchuang Xinyixue(Chinese Journal of New Clinical Medicine),9(4):318-320(吕静,陈似霞,李佳梅,李春兰,刘石玉,潘锡屏,2015,认知功能障碍对肝癌患者生命质量的影响及护理对策,中国临床新医学,9(4):318-320)
Shen J.X.,Yu L.A.,Shen D.,and Xu H.H.,2016,Effect of cognitive-behavioral therapy on metal health for patients with liver cancer and depression,Hushi Jinxiu Zazhi(Journal of Nurses Training),31(11):975-977(沈君霞,余灵安,沈丹,许慧慧,2016,认知行为疗法对肝癌晚期并发抑郁患者心理健康的影响,护士进修杂志,31(11):975-977)
Song Y.Y.,Li C.H.,and Xu W.,2010,Study on application of informational support to reduce disease uncertainty in liver cancer patients undergoing interventional therapy,Zhongguo Shiyong Huli Zazhi(Chinese Journal of Practical Nursing),26(24):4-7(宋艳燕,李翠华,许伟,2010,信息支持减轻肝癌介入治疗患者疾病不确定感的效果研究,中国实用护理杂志,26(24):4-7)
Wang T.,Tian H.M.,Li M.,Zhang C.,Li Y.F.,Liu J.,Wang X.B.,Qi J.,Wu J.X.,and Zhang W.,2016,Clinical value of serum MIC-1 level in patients with liver cancer,Aizheng Jingzhan(Oncology Progress),14(4):328-331(王腾,田海梅,李茉,张超,李艳芬,刘静,王小兵,齐军,吴健雄,张伟,2016,血清巨噬细胞抑制因子-1在肝癌患者中的临床诊断价值,癌症进展,14(4):328-331)
Wang Z.G.,Zhang G.F.,Wu J.C.,and Jia M.K.,2013,Adjuvant therapy for hepatocellular carcinoma:Current situation and prospect,Drug Discov.Ther.,7(4):137-143
Wu M.,Yu F.L.,and Wang Y.L.,2016,Effect of nursing intervention on quality of life of patients with hepatocellular carcinoma treated by interventional therapy,Shiyong Linchuang Yiyao Zazhi(Journal of Clinical Medicine in Practice),20(12):33-35,45(吴苗,鱼富丽,王月玲,2016,肝癌患者介入治疗中护理干预措施的疗效及生活质量改善分析,实用临床医药杂志,20(12):33-35,45)
Xiao Q.G.,and Li X.M.,2014,Influence of continued nursing intervention on physical and psychological health recovery of liver cancer patients after surgery,Huli Yanjiu(Chinese Nursing Research),1(28):324-327(肖奇贵,李小妹,2014,延续护理干预对肝癌术后病人身心健康恢复的影响,护理研究,1(28):324-327)
Xie F.N.,Wang Y.,He F.Y.,and Shi M.,2016,A solution-focused educational approach to patients after hepatectomy in crisis response capacity,Zhonghua Xiandai Huli Zazhi(Chinese Journal of Modern Nursing),22(16):2245-2248(谢翡娜,王彦,何凤英,石明,2016,聚焦解决教育模式对肝癌手术患者危机应对能力的影响,中华现代护理杂志,22(16):2245-2248)
Zhao B.,Guo Y.,Chen W.,Wang H.,Yan B.Z.,and Li R.F.,2015,Effect of cognitive intervention on the anxiety and depression in patients with hepatocellular carcinoma receiving interventional therapy,Xiandai Shengwu Yixue Jinzhang(Progress in Modern Biomedicine),15(33):6542-6545(赵波,郭莹,陈微,王欢,颜炳柱,李任飞,2015,认知干预对肝癌介入患者焦虑和抑郁情绪的影响,现代生物医学进展,15(33):6542-6545)
基本信息:
DOI：10.13417/j.gab.038.000441
中图分类号:R473.73
引用信息:
[1]孙翠英,赵媛媛.认知护理干预在肝癌患者术后恢复中具有显著的疗效[J].基因组学与应用生物学,2019,38(01):441-447.DOI:10.13417/j.gab.038.000441.
基金信息:
濮阳医学高等专科学校资助
2018-12-12
2018-12-12
2018-12-12