奥马哈系统在TACE治疗中晚期肝癌患者护理中的应用效果

发布时间：2018-04-27 08:51

本文选题：奥马哈系统 + 中晚期肝癌　；参考：《介入放射学杂志》2017年07期

【摘要】：目的探讨基于奥马哈系统的针对性护理,在中晚期肝癌肝动脉化疗栓塞(TACE)护理中的临床应用价值。方法前瞻性地将60例拟用TACE治疗的中晚期肝癌患者随机分为对照组(n=30)和观察组(n=30)。对照组实施常规护理模式,观察组实施奥马哈系统护理模式,观察组患者在入院时通过奥马哈系统进行评估,筛选出关键的共性问题进行针对性护理,同时两组患者在入院当天、出院当天填写汉密尔顿抑郁量表(HAMD-17)、汉密尔顿焦虑量表(HAMA)、社会支持评定量表(SSQ)、数字疼痛评分表(NRS),分别评估抑郁、焦虑、社会支持和疼痛程度。结果两种护理模式均能改善患者抑郁、焦虑状况,完善患者社会支持系统,但观察组在这两方面疗效明显优于对照组(P0.05),同时发现两种护理模式对于患者疼痛程度改善差异无统计学意义,但基于奥马哈系统的护理模式在一定程度上能够缓解患者疼痛。结论奥马哈系统在中晚期肝癌患者TACE护理中,能够缓解患者负性情绪,并促进患者社会支持系统构建,且优于常规护理,在临床上有较大应用潜力。
[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.
【作者单位】：丽水市中心医院(浙江大学丽水医院、温州医科大学附属第五医院)介入诊疗中心;
【基金】：浙江省重大科技专项重大社会发展项目(2013C03010) 丽水市科技局科技自筹项目(2014ZC028)
【分类号】：R473.73

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