基于达标理论的临床护理在中晚期肝癌患者经导管动脉化疗栓塞术治疗中的应用

摘要/Abstract

摘要： 目的: 探讨基于达标理论的临床护理对接受经导管动脉化疗栓塞术（transcatheter arterial chemoembolization, TACE）治疗的中晚期肝癌患者恢复情况及预后的影响。
方法: 选取2022年2月至2024年3月于首都医科大学附属北京友谊医院接受TACE治疗的92例中晚期肝癌患者,按照随机数字表法分为对照组和研究组两组,每组各46例。对照组患者采用常规护理,研究组患者在常规护理的基础上采用基于达标理论的临床护理。比较两组患者的住院情况（住院时间、住院费用）、疼痛情况[疼痛视觉模拟评分法（visual analogue scale, VAS）]、心理状态[汉密尔顿焦虑量表（Hamilton anxiety scale, HAMA）评分、汉密尔顿抑郁量表（Hamilton depression scale, HAMD）评分]、生活质量[欧洲癌症治疗研究组生命质量测定量表（quality of life questionnaire-core 30, QLQ-C30）评分]及并发症发生情况。
结果: 两组患者住院时间、住院费用差异均无统计学意义（P均>0.05）。护理前,两组患者疼痛VAS评分、HAMA评分、HAMD评分及QLQ-C30评分差异均无统计学意义（P均>0.05）;护理后,两组患者疼痛VAS评分、HAMA评分、HAMD评分均较护理前下降（P均<0.05）,且研究组患者疼痛VAS评分、HAMA评分、HAMD评分均低于对照组患者（P均<0.05）;护理后,两组患者QLQ-C30评分均较护理前升高（P均<0.05）,且研究组患者QLQ-C30评分高于对照组患者（P<0.05）。研究组患者并发症发生率低于对照组患者,且差异有统计学意义（P<0.05）。
结论: 接受TACE治疗的中晚期肝癌患者采用基于达标理论的临床护理能够缓解疼痛,改善不良情绪,提高生活质量,且安全性良好。

关键词: 中晚期肝癌, 经导管动脉化疗栓塞术, 护理, 达标理论

Abstract: Objective: To explore the impact of clinical nursing based on the target theory on the recovery and prognosis of patients with intermediate and advanced liver cancer treated with transcatheter arterial chemoembolization (TACE).
Methods: 92 patients with intermediate and advanced liver cancer who were treated with transdermal puncture TACE in Beijing Friendship Hospital, Capital Medical University from February 2022 to March 2024 were selected as the research subjects. They were divided into a control group and a research group according to the random number table method. The number of patients was 46 in each case. The control group received routine nursing care, while the research group adopted clinical care based on the standard theory in addition to routine care. Hospitalization (length of stay, cost of stay), pain (visual analogue scale [VAS] score), psychological state (Hamilton anxiety scale [HAMA] score, Hamilton depression scale [HAMD] score), quality of life (quality of life questionnaire-core 30 [QLQ-C30] score) and occurrence of complications were compared between the two groups.
Results: There was no significant difference in hospitalization time and hospitalization expenses between the two groups (both P>0.05). Before nursing, there was no significant difference in the VAS score, HAMA score, HAMD score and QLQ-C30 score between the two groups of patients (all P>0.05). After nursing, the VAS score, HAMA score, and HAMD score of the two groups of patients were significantly decreased, and the decrease was more significant in the study group (all P<0.05); After care, the QLQ-C30 scores of both groups of patients increased significantly, and the increase was more significant in the study group (P<0.05); the incidence of complications in the study group was significantly lower than that of the control group (P<0.05).
Conclusion: Clinical nursing based on target-reaching theory can relieve pain, improve negative emotions, and improve quality of life for patients with advanced liver cancer treated with percutaneous TACE.

Key words: Intermediate and advanced liver cancer, Transcatheter arterial chemoembolization, Nursing, Standard-reaching theory

寇寅虎. 基于达标理论的临床护理在中晚期肝癌患者经导管动脉化疗栓塞术治疗中的应用[J]. 肝癌电子杂志, 2025, 12(2): 37-41.

Kou Yinhu. Research on the application of clinical nursing based on the target theory in the transcatheter arterial chemoembolization treatment of patients with intermediate and advanced liver cancer[J]. Electronic Journal of Liver Tumor, 2025, 12(2): 37-41.

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