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计算机辅助肝脏三维重建技术在肝癌患者围术期健康教育中的应用

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目的:探讨计算机辅助肝脏三维重建技术在肝癌患者围术期健康教育中的应用效果。方法:选取 2020 年 2 月 1 日~2023 年 2 月 28 日 100 例行肝肿瘤根治性切除术患者随机分为对照组和研究组各 50 例,对照组行常规围术期健康教育,研究组使用计算机辅助肝脏三维重建技术进行围术期健康教育;比较两组干预前后健康知识掌握情况、心理状态及应激反应指标。结果:两组术前 1 h健康知识问卷评分高于入院次日(P<0。05)、焦虑抑郁量表(HADS)评分低于入院次日(P<0。05),研究组术前1 h健康知识问卷评分高于对照组(P<0。05)、HADS 评分低于对照组(P<0。05)。重复测量整体分析结果显示,去甲肾上腺素(NE)组间、时间点及交互作用差异有统计学意义(P<0。05)。术前 1 h、手术开始 30 min、术后 1 h,研究组NE及COR水平低于对照组(P<0。05)。术前 1 h、手术开始 30 min、术后 1 h,两组患者NE及COR水平均高于入院次日(P<0。05);手术开始 30 min,两组患者NE及COR水平高于术前 1 h(P<0。05);术后 1 h,两组患者NE及COR水平低于手术开始 30 min(P<0。05)。结论:使用计算机辅助肝脏三维重建技术辅助围术期健康教育可有效提升肝癌患者的健康知识掌握程度,改善不良心理状态,降低应激反应。
Application of Computer Aided 3D Liver Reconstruction in Patients with Liver Cancer during Perioperative Health Education
Objective:To explore the effect of computer aided 3D liver reconstruction in patients with liver cancer during perioperative health education.Methods:A total of 100 patients who received radical resection of liver tumors from February 1,2020 to February 28,2023 were selected and randomly divided into the control group and the research group,with 50 cases in each group.The control group received routine perioperative health education.The research group used computer aided three-dimensional liver reconstruction technology to conduct perioperative health education.The health knowledge,mental state and stress response index levels of the two groups were compared before and after operation.Results:In the 1 h before surgery,the perioperative health knowledge questionnaire scores of liver cancer patients in both groups were higher than those in the next day after admission(P<0.05),the hospital anxiety and depression scale(HADS)scores were lower in both groups than those on the next day after admission(P<0.05).The preoperative 1 h health knowledge questionnaire scores were higher in the research group than those in the control group(P<0.05),and the HADS scores were lower in the research group than those in the control group(P<0.05).The overall analysis results of repeated measurements showed statistically significant differences in the inter group,time point,and interaction effects of norepinephrine(NE)(P<0.05).At 1 h before surgery,30 min after surgery,and 1 h after surgery,the NE and COR levels in the study group were lower than those in the control group(P<0.05).At 1 h before surgery,30 min after surgery,and 1 h after surgery,the NE and COR levels in both groups of patients were higher than those on the day after admission(P<0.05).The levels of NE and COR in both groups of patients at 30 min after surgery were higher than those at 1 h before surgery(P<0.05).After 1 h of surgery,the levels of NE and COR in both groups of patients were lower than those at 30 min after surgery(P<0.05).Conclusion:The application of computer aided three-dimensional liver reconstruction technology in assisting perioperative health education can effectively improve the health knowledge in patients with liver cancer,improve their negative mental state,and reduce physiological stress reactions in liver cancer patients.

Liver cancerHealth educationComputer Aided 3D Liver ReconstructionPhysiological stress response

陈书杰、宋红霞、陈佳、王琳娜

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河南省人民医院 河南郑州 450003

肝癌 健康教育 计算机辅助肝脏三维重建技术 应激反应

2024

齐鲁护理杂志
山东省护理学会

齐鲁护理杂志

影响因子:1.452
ISSN:1006-7256
年,卷(期):2024.30(2)
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