摘要
目的探讨人性化护理对乙肝相关性肝细胞癌患者负性情绪及自我效能感的影响。方法选取2013年3月至2017年3月间上海市松江区中心医院收治的82例乙肝相关性肝细胞癌患者,采用随机数表法将患者分为观察组与对照组,每组41例,观察组患者采用人性化护理,对照组患者采用常规护理,观察不同护理方式对患者术后负性情绪、自我效能感、术后肝功能指标及HBVDNA水平的影响效果。结果护理前,两组患者的焦虑自评量表(SAS)和抑郁自评量表(SDS)自评量表评分比较,差异无统计学意义(P> 0. 05);术后6个月,观察组患者SAS和SDS自评量表评分显著低于护理前及对照组同期,差异均有统计学意义(均P <0. 05)。护理前,两组患者一般自我效能感量表(GSES)评分比较,差异无统计学意义(P> 0. 05)。术后1周和术后6个月时,观察组GSES评分显著高于对照组及本组护理前,差异均有统计学意义(均P <0. 05)。入院时,两组组间肝功能指标及检查结果比较,差异无统计学意义(P> 0. 05)。术前,观察组患者总胆红素(TBIL)显著低于对照组患者;术后3d,观察组患者TBIL和丙氨酸转移酶(ALT)显著低于对照组患者;术后6个月时,观察组患者TBIL、ALT、天门冬氨酸基转移酶(AST)及乙肝病毒脱氧核糖核酸(HBV-DNA)均显著低于对照组患者,差异均有统计学意义(均P <0. 05)。结论人性化护理用于乙肝相关性肝细胞癌患者能够降低患者不良情绪,提高患者自我效能,并有助于改善患者术后肝功能及HBV-DNA水平,有益于患者预后康复,具有一定的借鉴价值。
Objective To explore the effect of humanized nursing on negative emotion and self-efficacy of patients with hepatitis B associated hepatocellular carcinoma. Methods From March 2013 to March 2017,82 patients with Hepatitis B related hepatocellular carcinoma were selected and divided into observation group( n = 41) and control group( n = 41). The observation group was treated with humanized nursing,the control group was treated with routine nursing,and the effect of different nursing methods on patients’ negative emotion,self-efficacy,liver function index and HBV-DNA level after operation was observed. Results The scores of SAS,SDS in the observation group were significantly lower than those in the control group and before nursing( P < 0. 05). 1 week after operation,the GSES score in the observation group was significantly higher than that in the control group and before nursing( P < 0. 05). At 6 months after operation,the GSES score in the observation group was significantly higher than that in the control group and before nursing care( P < 0. 01),but there was no significant difference between the two groups at admission( P > 0. 05). On admission,there was no significant difference in liver function index and examination results between the two groups( P > 0. 05). Before operation,the TBIL in the observation group was significantly lower than that in the control group( P < 0. 05). TBIL,ALT,AST and HBV-DNA in the observation group were significantly lower than those in the control group 6 months after operation( P < 0. 01).Conclusion The application of humanized nursing in patients with Hepatitis B related hepatocellular carcinoma can reduce the bad emotion,improve the self-efficacy,improve the liver function and the level of HBV-DNA,and benefit the prognosis and recovery of the patients. It has certain reference value.
作者
沈国美
陈勤芳
SHEN Guo-mei;CHEN Qin-fang(Department of Critical Diseases,Shanghai Songjiang District Central Hospital,Shanghai 201600;Infectious Disease,Shanghai Songjiang District Central Hospital,Shanghai 201600)
出处
《中国肿瘤临床与康复》
2019年第2期249-253,共5页
Chinese Journal of Clinical Oncology and Rehabilitation
作者简介
沈国美,女,护师,主要从事危重病科护理专业。
