Application of Extended Nursing Service Based on 4R Model in Patients with Primary Liver Cancer After Hepatic Artery Chemoembolization
Objective To explore and evaluate the effect of extended nursing service based on 4R model of recognition,resourcefulness,respect and reassessment in patients with primary liver cancer after transcatheter arterial chemoembolization.Methods A prospective randomized controlled study design was used to select 64 patients with primary liver cancer admitted to Anyang Fifth People's Hospital from December 2021 to December 2022,and they were divided into routine group and 4R group,with 32 cases in each group.The routine group received general nursing intervention,and the 4R group received 4R extended nursing services including comprehensive health assessment,multi-disciplinary team resource coordination,individualized pain management,psychological support,and rehabilitation guidance.The patients'mental state and pain degree were quantitatively evaluated by Herth hope scale,self-rating anxiety scale and visual analog scale.Results After intervention,the score of Herth hope scale in 4R group was higher than that in routine group,and the score of self-rating anxiety scale,visual analog scale and complication rate were lower than those in routine group(P＜0.05).Conclusion The extended nursing service based on 4R model can effectively prevent and reduce complications,significantly improve patients'sense of hope,relieve anxiety and control pain,and is worthy of clinical application.
万方数据
维普
