摘要
目的探讨纽曼系统护理模式对肝癌患者介入术前焦虑及术后不良反应的影响。方法将86例确诊的肝癌患者在准备介入治疗前随机分为干预组和对照组,干预组应用纽曼系统护理模式进行护理,对照组用常规护理措施,两组均在术前、术后用汉密尔顿焦虑量表(HAMA)进行评分,对术后不良反应发生率、住院时间以及患者及家属对护理工作的满意度进行调查。结果治疗前几乎所有患者均有焦虑情绪,治疗后干预组患者焦虑程度明显改善,差异有显著统计学意义(<0.001)。干预组术后不良反应发生率明显低于对照组,发热、恶心呕吐、肝区胀痛、局部渗血的发生率两组差异有统计学意义(<0.05)。干预组平均住院时间低于对照组,患者及家属对护理工作的满意度高于对照组,差异有统计学意义(<0.05)。结论纽曼系统护理模式应用于肝癌介入患者,有助于患者以稳定状态配合介入治疗,减少术后不良反应,有助于患者恢复而提高疗效,缩短住院天数,提高满意度。
Objective To investigate the af ection of Newman system model of care on preoperative anxiety and postoperative adverse reactions of liver cancer patients.Methods 86 cases diagnosed with liver cancer were randomly assigned to the intervention group and the control group before interventional treatment,the intervention group received Newman system model nursing care,the control group with conventional care,Hamilton anxiety Scale(HAMA)scores both groups at preoperative and postoperative,and investigated the incidence of adverse reactions after operative,hospitalization time and satisfaction of patients and families.Results Almost all patients had anxiety pretreatment,the intervention group improved more than the control group after treatment,the dif erence was statistical y significant(<0.001).The incidence of adverse events in the intervention group were significantly lower than the control group,the dif erent of the incidence in fever,nausea,vomiting,liver pain and localized bleeding between the two groups was statistical y significant(<0.05).The average hospitalization time in the intervention group were less than the control group,patients and their families satisfaction on nursing were higher than the control group,the dif erence was statistical y significant(<0.05).Conclusion Newman system model of care were useful in patients with intervention liver cancer,the model helps patients accept intervention treatment with more stable state,reduce postoperative adverse reactions,recover and improve ef icacy,shorter hospital time and improved satisfaction.
作者
王月娟
奚丽英
王亚玉
WANG Yue-juan;XI li-ying;WANG Ya-yu(The Third People's Hospital of Changzhou City,Changzhou 213001,Jiangsu,China)
关键词
肝癌
介入治疗
纽曼系统护理模式
焦虑
Liver cancer
Intervention treatment
Newman system model of care
Anxiety
