庄琳旎,顾红.以奥马哈系统为导向的护理干预对行介入栓塞治疗的肝癌患者疼痛程度及生活质量的影响[J].上海护理,2018,18(10):
以奥马哈系统为导向的护理干预对行介入栓塞治疗的肝癌患者疼痛程度及生活质量的影响
Effect of Omaha System-based Nursing Intervention on Pain Degree and Quality of Life in Patients with Hepatocellular Carcinoma Treated by Embolization
DOI:
中文关键词:  肝癌  介入栓塞  奥马哈体系  护理
英文关键词:
基金项目:无锡市卫生计生委科技成果与适宜技术推广项目,项目编号T201657
作者单位E-mail
庄琳旎 无锡市第五人民医院 xzllww@163.com 
顾红* 无锡市第五人民医院 xzllww@163.com 
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中文摘要:
      【】目的:探究以奥马哈系统为导向的护理干预对行介入栓塞治疗的肝癌患者疼痛程度及生活质量的影响研究,为临床肝癌患者治疗提供护理参考。方法:抽取2015-10至2017-01期间于我院行介入栓塞治疗的120例原发性肝癌患者展开研究,随机分为2组(对照组与研究组),对照组接受临床常规护理,研究组患者在对照组基础上给予其以奥马哈系统为导向的护理干预,利用VAS视觉评分量表与QLQ-C30表分别对2组患者干预前后癌性疼痛程度与生活质量情况进行评估。结果:经过护理干预后研究组患者各项护理问题效果评估得分较干预前均有不同程度的提高,各项护理问题均明显减少,且研究组VAS评分(4.38±0.38)明显低于对照组(5.89±0.71),研究组 QLQ-C30各个评估项得分显著高于对照组,差异有统计学意义(P<0.05)。结论:对行介入栓塞治疗的肝癌患者实施以奥马哈体系为导向的护理模式进行干预治疗,相较于常规护理方式,可显著改善患者癌性疼痛程度,提高患者生活质量,临床具有较高的应用价值。
英文摘要:
      【】Objective: To explore the effect of Omaha system-based nursing intervention on the degree of pain and quality of life in patients with hepatocellular carcinoma treated by embolization, and to provide nursing reference for the treatment of patients with liver cancer.Methods: A total of 120 patients with primary liver cancer who underwent embolization were enrolled in this study. They were randomly divided into two groups (control group and study group). The control group received clinical routine nursing. The patients in the study group On the basis of the control group, Omaha system-oriented nursing intervention was used to evaluate the degree of cancer pain and quality of life before and after the intervention of the VAS visual rating scale and the QLQ-C30 table.Results: After nursing intervention patients in the study group to evaluate the effect of various nursing problems than the score before intervention in varying degrees of increase, the nursing problems were significantly reduced, and the study group VAS score (4.38 ± 0.38) was significantly lower than the control group (5.89 ± 0.71). The scores of QLQ-C30 in the study group were significantly higher than those in the control group, the difference was statistically significant (P <0.05).Conclusion: Interventional treatment of patients with hepatocellular carcinoma treated by embolization was mainly treated with Omaha system-oriented nursing model, which could significantly improve the cancer pain and improve the quality of life of patients, and the clinical value was higher than that of routine nursing .
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