首页|基于肝功能衰竭分级的护理干预结合聚焦解决模式对肝癌术后患者肝功能恢复及疾病自我感受负担的影响

基于肝功能衰竭分级的护理干预结合聚焦解决模式对肝癌术后患者肝功能恢复及疾病自我感受负担的影响

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目的 探讨基于肝功能衰竭分级的护理干预结合聚焦解决模式在肝癌术后患者中的应用效果。方法 选取2020年 1月至2022 年1月肿瘤外科收治的120 例肝癌术后患者为研究对象,根据护理干预方法不同将其分为对照组(60 例,常规护理)和观察组(60 例,常规护理+基于肝功能衰竭分级的护理干预结合聚焦解决模式)。比较两组的干预效果。结果 干预后,观察组的丙氨酸氨基转移酶(ALT)、天门冬氨酸氨基转移酶(AST)、直接胆红素(DBIL)、总胆红素(TBIL)水平低于对照组(P<0。05)。干预后,观察组的身体负担、情感负担评分低于对照组(P<0。05)。两组的肝功能衰竭发生率比较,差异无统计学意义(P>0。05);观察组的平均住院时间短于对照组(P<0。05)。结论 基于肝功能衰竭分级的护理干预结合聚焦解决模式有助于促进肝癌术后患者肝功能恢复,减轻其疾病自我感受负担,缩短住院时间,值得推广。
Effects of nursing intervention based on liver failure grading combined with focused solution mode on liver function recovery and disease self-perceived burden in patients with liver cancer after operation
Objective To explore the application effect of nursing intervention based on liver failure grading combined with focused solution mode in patients with liver cancer after operation.Methods A total of 120 patients with liver cancer after operation admitted in the department of oncology surgery from January 2020 to January 2022 were selected as the research objects.According to different nursing intervention methods,the patients were divided into control group(60 cases,routine nursing)and observation group(60 cases,routine nursing + nursing intervention based on liver failure grading combined with focused solution mode).The intervention effects of the two groups were compared.Results After intervention,the levels of alanine aminotransferase(ALT),aspartate aminotransferase(AST),direct bilirubin(DBIL)and total bilirubin(TBIL)in the observation group were lower than those in the control group(P<0.05).After intervention,the scores of physical burden and emotional burden in the observation group were lower than those in the control group(P<0.05).There was no significant difference in the incidence of liver failure between the two groups(P>0.05);the average hospitalization time of the observation group was shorter than that of the control group(P<0.05).Conclusion Nursing intervention based on liver failure grading combined with focused solution mode is helpful to promote the recovery of liver function in patients with liver cancer after operation,reduce the burden of disease self-perception and shorten the hospitalization time,which is worthy of promotion.

liver failure gradingfocused solution modeliver cancerself-perceived burden

王小琳、张佳、赵小飞

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咸阳市第一人民医院,陕西 咸阳,712000

延安大学咸阳医院,陕西 咸阳,712000

肝功能衰竭分级 聚焦解决模式 肝癌 自我感受负担

2020年度院内科学研究基金项目

2020ZX071

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(1)
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