肝癌患者介入治疗后疼痛护理管理对策分析

[摘要] 目的 探讨和分析肝癌患者介入治疗后的疼痛护理管理对策。方法 随机选取2018年7—12月期间的60例介入治疗肝癌患者作为参考组研究对象;随机选取2019年1—6月期间的60例介入治疗肝癌患者作为研究组研究对象，对参考组患者实施常规护理干预;研究组患者在此基础上接受疼痛护理管理;对比两组患者的护理效果。结果 两组患者护理干预前的SAS、SDS、VAS评分均差异无统计学意义（P>0.05）;护理后研究组患者的SAS、SDS、VAS评分均显著低于参考组患者（P<0.05）;同时，研究组患者对护理的满意度95.0%显著高于参考组患者的73.3%（P<0.05）;另外，研究组患者的不良反应率3.3%显著低于参考组患者的23.3%（P<0.05）。结论 在护理介入治疗后的肝癌患者的过程中，采用疼痛护理管理能够缓解改善患者的疼痛症状，改善患者的不良情绪，降低不良反应发生率，提高患者对护理的满意度，具有较高的临床应用价值。

[关键词] 肝癌;介入治疗;疼痛;护理管理

[中图分类号] R47 [文献标识码] A [文章编号] 1672-5654（2020）05（b）-0070-03

Analysis of Pain Management Strategies for Patients with Liver Cancer after Interventional Therapy

HAN Juan

People's Hospital of Zhongshan City， Zhongshan， Guangdong Province， 528400 China

[Abstract] Objective To explore and analyze the countermeasures for pain management of patients with liver cancer after interventional therapy. Methods Randomly selected 60 patients with interventional treatment for liver cancer from July to December 2018 as the reference group; randomly selected 60 patients with interventional treatment for liver cancer from January to June 2019 as the study group. Patients in the control group received routine nursing interventions; patients in the study group received pain care management on this basis; and the nursing effects of the two groups of patients were compared. Results There were no statistically significantly differences in SAS， SDS， and VAS scores between the two groups of patients before nursing intervention（P>0.05）; the SAS， SDS， and VAS scores of patients in the study group after nursing were significantly lower than those in the reference group（P<0.05）; meanwhile， 95.0% of patients in the study group were significantly higher than 73.3% of patients in the reference group（P<0.05）; in addition， the adverse reaction rate of 3.3% in patients in the study group was significantly lower than 23.3% of patients in the reference group（P<0.05）. Conclusion In the process of caring for liver cancer patients after interventional treatment， the use of pain care management can alleviate and improve the patients' pain symptoms， improve the patient's bad mood， reduce the incidence of adverse reactions， and increase the patient's satisfaction with the care， with clinical application value.

[Key words] Liver cancer; Interventional therapy; Pain; Nursing management

肝癌是臨床上最为常见的恶性肿瘤疾病之一，对人类的健康有着非常大的危害。患者早期往往不会出现明显的症状，所以常常会被人们忽视，一旦发现就已经进入中晚期，对治疗造成很大的障碍[1]。当前，介入疗法是临床上治疗肝癌的常用方法;然而在治疗过程中，患者常常会被剧烈疼痛折磨。对于肝癌患者来说，剧烈的疼痛常常让患者陷入难以忍受的境地，不仅患者的生理产生严重影响，更会让患者陷入焦虑、抑郁、恐惧和绝望中，这种不良情绪又会进一步降低临床疗效[2]。如何有效缓解患者介入治疗后的疼痛，也是当前临床治疗和护理肝癌患者的普遍难题。常规护理对于缓解患者的疼痛管理效果并不理想，该院于2019年1—6月间选取60例患者，针对肝癌患者介入治疗后护理，实施了专门的疼痛护理管理，取得了较为显著的护理效果，现报道如下。