循证护理模式在肝细胞癌介入综合治疗中的临床应用

目的 探讨循证护理在肝细胞癌（HCC）介入综合治疗中的临床应用价值。方法 前瞻性选取2020年1月至2021年6月间行介入治疗的HCC患者102例，随机分为循证护理组（54例）和常规护理组（48例）。循证护理组的患者在常规护理的基础上采用循证护理模式。比较两组患者的生活质量、并发症发生率和护理满意度。结果 两组患者治疗后的SF-36健康量表各维度的评分明显高于治疗前（均P<0.05）；治疗后循证护理组在生理机能、生理职能、躯体疼痛、总体健康、活力五个维度分数高于常规护理组（均P<0.05）。循证护理组术后并发症发生率5（9.3%）]低于常规护理组12（25.0%）]，患者满意度52（96.3%）]高于常规护理组37（77.1%）]，差异有统计学意义（均P<0.05）。结论 循证护理能够显著提高HCC患者的生活质量和满意度，降低介入治疗后的并发症发生率。

Clinical application of evidence-based nursing model in interventional comprehensive treatment for hepatocellular carcinoma

Objective To investigate the clinical application value of evidence-based nursing in the interventional comprehensive therapy for hepatocellular carcinoma (HCC). Methods A total of 102 HCC patients who underwent interventional therapy between Jan. 2020 to Jun. 2021 were prospectively selected and randomly divided into evidence-based nursing group (54 cases) and conventional nursing group (48 cases). Patients in evidence-based nursing group received evidence-based nursing model on the basis of routine nursing. The quality of life, complication incidence and nursing satisfaction between two groups were compared. Results For both groups, the SF-36 health scale scores in each dimension after interventional comprehensive treatment were all significantly higher than those before treatment (all P<0.05). After treatment, the evidence-based nursing group was better than the conventional nursing group in terms of the five dimensions: physical functioning, rolephysical, bodily pain, general health, and vitality (all P<0.05). The complication incidence after treatment in the evidence-based nursing group 5(7.4%)] was lower than that in the conventional nursing group 12(25.0%)], and the patient satisfaction 52(96.3%)] was higher than that in the conventional nursing group 37(77.1%)], the differences were statistically significant (all P<0.05). Conclusion This study suggests that evidence-based nursing can significantly improve the quality of life and satisfaction for HCC patients, and which can reduce the complication incidence after interventional comprehensive treatment