首页|Cox-IMCHB指导下的多维护理干预对原发性肝癌患者的影响

Cox-IMCHB指导下的多维护理干预对原发性肝癌患者的影响

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目的:探讨Cox健康行为互动模式(Cox-IMCHB)指导下的多维护理干预对原发性肝癌(PLC)患者的影响。方法:选取2022 年 1 月 1 日~2023 年3 月31 日收治的90 例PLC患者作为研究对象,根据来院先后顺序分为观察组和对照组各45 例,观察组采用Cox-IMCHB指导下的多维护理干预,对照组采用常规肝癌护理;比较两组肺功能指标[包括用力肺活量(FVC)、第一秒用力呼气容积(FEV1)、FEV1/FVC%],干预前后两组负性情绪[采用焦虑自评量表(SAS)、抑郁自评量表(SDS)]、生活质量[采用生活质量测定量表(QLQ-C30)],并发症发生情况(如肝功能衰竭、腹水、门静脉高压、感染)。结果:干预后,观察组FVC、FEV1、FEV1/FVC%均高于对照组(P<0。01);干预后,观察组SAS、SDS评分均低于对照组(P<0。01);观察组QLQ-C30 评分高于对照组(P<0。05,P<0。01),肝功能衰竭、腹水、门静脉高压、感染发生率均低于对照组(P<0。05)。结论:Cox-IMCHB指导下的多维护理干预能够改善PLC患者的肺功能、负性情绪及生活质量,降低并发症发生率。
Effect of Multi-dimensional Nursing Intervention under the Guidance of Cox-IMCHB on Patients with Primary Liver Cancer
Objective:To investigate the effect of multi-dimensional nursing intervention guided by COX-IMCHB on patients with prima-ry liver cancer(PLC).Methods:90 PLC patients admitted from January 1,2022 to March 31,2023 were selected as the study objects,and were divided into the observation group and the control group according to the order of admission,with 45 cases in each group.The multidi-mensional nursing intervention was adopted in the observation group and routine nursing care was given in the control group.The pulmonary function indexes including FVC,FEV1,FEV1/FVC%,negative emotions by SAS and SDS,the quality of life using QLQ-C30 and the com-plications like liver failure,ascites,portal hypertension,infection were compared between the two groups before and after intervention.Re-sults:After intervention,FVC,FEV1 and FEV1/FVC%in observation group were higher than those in the control group(P<0.01),the scores of SAS and SDS in observation group were lower than those in the control group(P<0.01),the QLQ-C30 score in observation group was higher than that in the control group(P<0.05,P<0.01),and the incidence of liver failure,ascites,portal hypertension and infection were lower than those in the control group(P<0.05).Conclusion:The multi-dimensional nursing intervention under the guidance of Cox-IMCHB can improve lung function,negative emotions and quality of life of PLC patients,and reduce the incidence of complications.

Cox-IMCHBPrimary liver cancerMultidimensional nursingLung functionNegative emotionsQuality of life

曹鹏、宋丹丹、李维娜、孙冉、申娜、李静

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徐州医科大学附属医院 江苏徐州 221000

Cox-IMCHB 原发性肝癌 多维护理 肺功能 负性情绪 生活质量

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(13)