肝癌介入术后急性严重腹痛发生的危险因素及护理对策分析

扫码查看

原文链接

国家科技期刊平台
NETL
NSTL
万方数据

中文摘要：目的探讨肝癌介入术后患者发生急性严重腹痛的危险因素，制定护理对策。方法选取 2023 年 1 月至2024 年 1 月安阳市肿瘤医院收治的 83 例肝癌介入术后患者，统计急性严重腹痛发生情况，进行单因素分析与多因素二元Logistic回归分析以明确其发生的危险因素。结果 83 例肝癌介入术后患者中，共有 22 例(26。51%)发生急性严重腹痛;与非急性严重腹痛组比较，急性严重腹痛组年龄≥60 岁、合并肝硬化、肿瘤直径≥5 cm、血管入侵、肿瘤至肝包膜距离＜2cm、汉密尔顿抑郁量表(HAMD)评分≥17 分、汉密尔顿焦虑量表(HAMA)评分≥14 分占比更高，差异有统计学意义(P＜0。05)，疼痛管理占比更低，差异有统计学意义(P＜0。05);多因素二元Logistic回归分析结果显示，年龄≥60 岁(OR=3。509;95%CI:3。215～3。830)、肿瘤直径≥5 cm(OR=4。096;95%CI:3。778～4。441)、肿瘤至肝包膜距离＜2 cm(OR=3。106;95%CI:2。769～3。484)、血管入侵(OR=2。413;95%CI:2。234～2。606)、合并肝硬化(OR=5。018;95%CI:4。684～5。376)、HAMA评分≥14 分(OR=1。225;95%CI:1。137～1。320)、HAMD评分≥17 分(OR=1。306;95%CI:1。079～1。581)是影响肝癌介入术后发生急性严重腹痛的独立危险因素，差异有统计学意义(P＜0。05)，疼痛管理(OR=0。438;95%CI:0。252～0。761)是保护性因素，差异有统计学意义(P＜0。05)。结论肝癌介入术后患者发生急性严重腹痛与年龄、肿瘤直径、肿瘤至肝包膜距离、血管入侵、合并肝硬化、HAMA评分、HAMD评分、疼痛管理等有关，对此，临床需进行针对性护理干预。

外文标题：Analysis of Risk Factors and Nursing Strategies for Acute Severe Abdominal Pain After Interventional Therapy for Liver Cancer

外文摘要：Objective To investigate the risk factors for acute severe abdominal pain in patients after interventional therapy for liver cancer and to develop nursing strategies.Methods Eighty-three patients with liver cancer who underwent interventional therapy at Anyang Tumor Hospital from January 2023 to January 2024 were selected.The incidence of acute severe abdominal pain was recorded,and univariate analysis and multivariate binary logistic regression analysis were conducted to identify the risk factors.Results Among the 83 patients,22(26.51%)experienced acute severe abdominal pain.Compared with the non-acute severe abdominal pain group,the acute severe abdominal pain group had a higher proportion of patients aged≥60 years,with cirrhosis,tumor diameter≥5 cm,vascular invasion,tumor distance to liver capsule＜2 cm,Hamilton Depression Scale(HAMD)score≥17,and Hamilton Anxiety Scale(HAMA)score≥14,with statistically significant differences(P＜0.05).The proportion of pain management was lower in the acute severe abdominal pain group,with statistically significant differences(P＜0.05).Multivariate binary logistic regression analysis showed that age≥60 years(OR=3.509;95%CI:3.215～3.830),tumor diameter≥5 cm(OR=4.096;95%CI:3.778～4.441),tumor distance to liver capsule＜2 cm(OR=3.106;95%CI:2.769～3.484),vascular invasion(OR=2.413;95%CI:2.234～2.606),cirrhosis(OR=5.018;95%CI:4.684～5.376),HAMA score≥14(OR=1.225;95%CI:1.137～1.320),and HAMD score≥17(OR=1.306;95%CI:1.079～1.581)were independent risk factors for acute severe abdominal pain after interventional therapy for liver cancer,with statistically significant differences(P＜0.05).Pain management(OR=0.438;95%CI:0.252～0.761)was a protective factor,with statistically significant differences(P＜0.05).Conclusion The occurrence of acute severe abdominal pain in patients after interventional therapy for liver cancer is related to factors such as age,tumor diameter,tumor distance to liver capsule,vascular invasion,cirrhosis,HAMA score,HAMD score,and pain management.Targeted nursing interventions are needed in clinical practice.

外文关键词：

liver canceracute severe abdominal painpost-interventional therapynursing strategiesrisk factors

作者：

武慧娟

展开 >

作者单位：

安阳市肿瘤医院介入科,河南安阳 455000

关键词：

肝癌急性严重腹痛介入术后护理对策危险因素

出版年：

2024

DOI：