世界睡眠医学杂志2024,Vol.11Issue(2) :476-479.DOI:10.3969/j.issn.2095-7130.2024.02.067

临床护理路径对介入治疗肝癌患者并发症及睡眠质量的影响

Effect of Clinical Nursing Pathway on Complications and Sleep Quality of Patients with Hepatocellular Carcinoma Treated by Interventional Therapy

连文卿 陈宇峰 杨燕琼
世界睡眠医学杂志2024,Vol.11Issue(2) :476-479.DOI:10.3969/j.issn.2095-7130.2024.02.067

临床护理路径对介入治疗肝癌患者并发症及睡眠质量的影响

Effect of Clinical Nursing Pathway on Complications and Sleep Quality of Patients with Hepatocellular Carcinoma Treated by Interventional Therapy

连文卿 1陈宇峰 1杨燕琼1
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作者信息

  • 1. 厦门大学附属中山医院,厦门,361000
  • 折叠

摘要

目的:全面地评估临床护理路径在肝癌介入手术中的应用效果.方法:选取2022年5月至2023年5月厦门大学附属中山医院收治的原发性肝癌患者96例作为研究对象,按照随机数字表法分为对照组和观察组,每组48例.对照组给予常规护理,观察组在常规护理的基础上加入临床护理路径.对2组的术前、术后7 d的肝功能检测指标[谷草转氨酶(GOT)、谷丙转氨酶(GPT)、总胆红素(TBIL)]以及匹兹堡睡眠质量指数(PSQI)进行评估比较;观察并比较2组的并发症发生情况.结果:术前,2组的TBIL、GOT、GPT水平以及PSQI评分比较,差异均无统计学意义(均P>0.05);术后7 d,2组各项肝功能指标及PSQI评分均较术前有所改善,差异均有统计学意义(均P<0.05),且观察组各指标均低于对照组,差异均有统计学意义(均P<0.05);观察组的并发症发生率为12.5%,较对照组的31.25%更低,差异有统计学意义(P<0.05).结论:在介入治疗肝癌患者中采用临床护理路径的干预方式具有积极意义,能够有效改善患者的肝功能情况,优化睡眠质量,有利于防止或降低并发症的发生,从而促进预后,值得临床推广应用.

Abstract

Objective:To comprehensively evaluate the application effect of clinical nursing pathways in interventional surgery for liver cancer.Methods:This study selected 96 patients with primary liver cancer admitted to our hospital from May 2022 to May 2023 as the study subjects,and all patients underwent interventional treatment.They were randomly divided into two groups,the control group(n=48)received routine nursing,and the observation group(n=48)was added to the clinical nursing pathway on the basis of routine nursing.Evaluate and compare the liver function test indicators[glutamic-oxaloacetic transaminase(GOT),glutamic-pyruvic transaminase(GPT),total bilirubin(TBIL)]and Pittsburgh Sleep Quality Index(PSQI)of two groups before and 7 days after surgery.Observe and compare the incidence of complications between the two groups.Results:Before surgery,there was no significant difference in TBIL,GPT,GOT levels,and PSQI scores between the two groups(Ps>0.05).On day 7 after surgery,various liver function indicators and PSQI scores in both groups improved compared to before surgery(Ps<0.05),and all indicators in the observation group were lower than those in the control group(Ps<0.05).The incidence of complications in the observation group was 12.5%,which was lower than the control group's 31.25%(P<0.05).Conclusion:The use of clinical nursing pathways in interventional treatment of liver cancer patients has a positive significance,which can effectively improve the patient's liver function,optimize sleep quality,prevent or reduce the occurrence of complications,and promote prognosis.It is wor-thy of clinical promotion and application.

关键词

临床护理路径/介入治疗/原发性肝癌/并发症/睡眠质量/肝功能/常规护理/总胆红素

Key words

Clinical nursing pathway/Interventional therapy/Primary liver cancer/Complications/Sleep quality/Liver func-tion/Routine nursing/Total bilirubin

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出版年

2024
世界睡眠医学杂志

世界睡眠医学杂志

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参考文献量21
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