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Clinical effect of high-quanlity nursing care in advanced hepatocellular carcinoma patients with massive ascites |
YI Jiying1 TANG Chenxi1 ZHANG Shufang1 CHEN Zhengru2 LI Jiali2 XIA Jinrong2 LI Siyu2 LENG Zhengwei2 |
1.Department of Oncology, Nanchong Central Hospital, Sichuan Province, Nanchong 637000, China;
2.Department of General Surgery, North Sichuan Medical College, Sichuan Province, Nanchong 637000, China |
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Abstract Objective To explore the clinical effect of high-quality nursing care in advanced hepatocellular carcinoma patients with massive ascites. Methods From January 2015 to June 2017, in Nanchong Central Hospital, 92 patients with advanced hepatocellular carcinoma with massive ascites were selected, according to nursing method, they were divided into control group and observation group, with 46 cases in each group. The observation group was given high-quanlity nursing care, the control group was given conventional nursing care. The score of quanlity of life, pain and satisfaction degree for nursing were observed. Results After nursing, the scores of quanlity of life, satisfaction degree in observation group were higher than control group, the differences were statistically significant (P < 0.05), scores of numeric rating scale in observation group was lower than control group, the difference was statistically significant (P < 0.05). Conclusion Advanced hepatocellular carcinoma patients with massive ascites nursed with high-quanlity nursing care can improve quanlity of life, reduce pain, improve satisfaction degree, the clinical effect is remarkble.
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[1] Bertino G,Di CI,Ardiri A,et al. Systemic therapies in hepatocellular carcinoma: present and future [J]. Future Oncology,2013,9(10):1533-1548.
[2] 林栋羚,董辉,杨丹,等.优质护理对肝硬化失代偿期患者心理状况、自护能力和生活质量的影响[J].川北医学院学报,2016,31(6):910-913.
[3] 周敏,任正华.优质护理服务的实施进展与建议[J].护理管理杂志,2011,11(3):186-187.
[4] 杨洋,梁洪生.优质护理对脊髓损伤患者心理特征及胃肠道康复的影响[J].中国医药导报,2016,13(33):182-185.
[5] 刘连新,李轲宇.2015年肝脏肿瘤NCCN临床实践指南更新与解读[J].中国实用外科杂志,2015,35(3):283-286.
[6] 余炯杰,王明达,杨田.《2017年美国国立综合癌症网络肝胆肿瘤临床实践指南(V2版)》更新要点及临床路径[J].临床肝胆病杂志,2017,33(11):2072-2082.
[7] 朱鹏,王宇明.《2016年美国国立综合癌症网络肝胆肿瘤临床实践指南(V2版)》更新要点及临床路径[J].临床肝胆病杂志,2016,32(9):1644-1652.
[8] 朱鹏,徐宗,王宇明.《2015年美国国立综合癌症网络肝胆肿瘤临床实践指南(V2版)》更新要点及临床路径[J].临床肝胆病杂志,2015,31(6):840-849.
[9] 陆爱琼.优质护理理念在晚期肿瘤患者中的应用[J].中国肿瘤临床与康复,2013,20(3):278-279.
[10] 王杰军,李睿.NCCN成人癌痛临床实践指南解读[J].临床肿瘤学杂志,2009,14(1):80-83.
[11] 赵存凤,赵继军,陆小英.数字疼痛量表和描述疼痛量表的相关性研究和改进[J].现代护理,2002,8(9):657-661.
[12] 王建平,陈仲庚,林文娟,等.中国癌症病人生活质量的测定——EORTC QLQ-C30在中国的试用[J].心理学报,2000,32(4):438-442.
[13] Jarzab B,Dedecjus M,Handkiewicz-Junak D,et al. Diagnostics and treatment of thyroid carcinoma [J]. Endokrynol Pol,2016,67(1):74-107.
[14] Ko FY,Yang AC,Tsai SJ,et al. Physiologic and laboratory correlates of depression,anxiety,and poor sleep in liver cirrhosis [J]. BMC Gastroenterol,2013,13(1):18.
[15] 唐丽丽.《中国肿瘤心理治疗指南》解读[J].医学与哲学,2016,37(22):21-23.
[16] Kubryak OV,Umriukhin AE,Emeljanova IN,et al. Increased beta-endorphin level in blood plasma as an indicator of positive response to depression treatment [J]. Bull Exp Biol Med,2012,153(5):758-760.
[17] 房波,李彦平,李树人.早期肿瘤患者体内P-物质、β-内啡肽水平的观察[J].河北医药,2001,23(10):773-774.
[18] Vitale A,Peck-Radosavljevic M,Giannini EG,et al. Personalized treatment of patients with very early hepatocellular carcinoma [J]. J Hepatology,2016,66(2):412.
[19] Lin MH,Wu PY,Tsai ST,et al. Hospice palliative care for patients with hepatocellular carcinoma in Taiwan [J]. Palliat Med,2004,18(2):93-99.
[20] 韩伟,岳清,严京哲.快速康复外科理念在肝癌切除术围手术期中的应用[J].临床肝胆病杂志,2016,32(10):2007-2011.
[21] 朱楚云,朱楚玉.晚期癌症疼痛的评估与护理[J].实用肿瘤学杂志,2009,17(1):126.
[22] 李福霞,刘美凤,于翠华,等.老年癌性疼痛患者化疗期间焦虑及疼痛自我效能现状调查[J].护理管理杂志,2012, 12(10):706-707.
[23] 王梦雅,邵建力,李素娇.优质护理对肺癌患者术后生活质量的影响[J].转化医学电子杂志,2016,3(6):71-72. |
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