本文選題：奧馬哈系統(tǒng) + 中晚期肝癌��； 參考：《介入放射學(xué)雜志》2017年07期

【摘要】：目的探討基于奧馬哈系統(tǒng)的針對(duì)性護(hù)理,在中晚期肝癌肝動(dòng)脈化療栓塞(TACE)護(hù)理中的臨床應(yīng)用價(jià)值。方法前瞻性地將60例擬用TACE治療的中晚期肝癌患者隨機(jī)分為對(duì)照組(n=30)和觀察組(n=30)。對(duì)照組實(shí)施常規(guī)護(hù)理模式,觀察組實(shí)施奧馬哈系統(tǒng)護(hù)理模式,觀察組患者在入院時(shí)通過奧馬哈系統(tǒng)進(jìn)行評(píng)估,篩選出關(guān)鍵的共性問題進(jìn)行針對(duì)性護(hù)理,同時(shí)兩組患者在入院當(dāng)天、出院當(dāng)天填寫漢密爾頓抑郁量表(HAMD-17)、漢密爾頓焦慮量表(HAMA)、社會(huì)支持評(píng)定量表(SSQ)、數(shù)字疼痛評(píng)分表(NRS),分別評(píng)估抑郁、焦慮、社會(huì)支持和疼痛程度。結(jié)果兩種護(hù)理模式均能改善患者抑郁、焦慮狀況,完善患者社會(huì)支持系統(tǒng),但觀察組在這兩方面療效明顯優(yōu)于對(duì)照組(P0.05),同時(shí)發(fā)現(xiàn)兩種護(hù)理模式對(duì)于患者疼痛程度改善差異無(wú)統(tǒng)計(jì)學(xué)意義,但基于奧馬哈系統(tǒng)的護(hù)理模式在一定程度上能夠緩解患者疼痛。結(jié)論奧馬哈系統(tǒng)在中晚期肝癌患者TACE護(hù)理中,能夠緩解患者負(fù)性情緒,并促進(jìn)患者社會(huì)支持系統(tǒng)構(gòu)建,且優(yōu)于常規(guī)護(hù)理,在臨床上有較大應(yīng)用潛力。
[Abstract]:Objective to explore the clinical application value of targeted nursing based on Omaha system in TACE-induced hepatic artery chemoembolization of advanced liver cancer. Methods 60 patients with advanced liver cancer who were scheduled to be treated with TACE were randomly divided into control group (n = 30) and observation group (n = 30). The control group carried out routine nursing model, the observation group implemented Omaha system nursing model, the observation group patients were evaluated by Omaha system on admission, and the key common problems were selected for targeted nursing. At the same time, on the day of admission and discharge, the two groups completed Hamilton Depression scale (Hamilton Depression scale), Hamilton anxiety scale (Hamilton anxiety scale), Social support rating scale (SSQS), Digital pain scale (NRS), and evaluated the degree of depression, anxiety, social support and pain, respectively. Results both of the two nursing models could improve the depression and anxiety of the patients and improve the social support system of the patients. But the curative effect of the observation group in these two aspects was obviously better than that of the control group (P 0.05). At the same time, there was no significant difference between the two nursing modes in improving the pain degree of the patients, but the nursing mode based on Omaha system could relieve the pain to some extent. Conclusion Omaha system can relieve the negative emotion and promote the construction of social support system in TACE nursing care of patients with advanced liver cancer. It is superior to routine nursing care and has great potential in clinical application.
【作者單位】： 麗水市中心醫(yī)院(浙江大學(xué)麗水醫(yī)院、溫州醫(yī)科大學(xué)附屬第五醫(yī)院)介入診療中心;
【基金】：浙江省重大科技專項(xiàng)重大社會(huì)發(fā)展項(xiàng)目(2013C03010) 麗水市科技局科技自籌項(xiàng)目(2014ZC028)
【分類號(hào)】：R473.73

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本文編號(hào)：1810061