护理学报2016，Vol.23Issue(22)：44-48,49,6.DOI:10.16460/j.issn1008-9969.2016.22.044
原发性肝癌患者肝动脉化疗栓塞术后自我管理效能干预的效果观察
Effect of SeIf-care and SeIf-efficacy for Patients with Primary Hepatic Carcinoma after Transcatheter ArteriaI ChemoemboIization
摘要
Abstract
Objective To discuss the impact of self-efficacy on primary hepatic carcinoma (PHC) patients after surgery with transcatheter arterial chemoembolization (TACE) for the first time. Methods 85 PHC patients were selected after the first surgery with TACE according to the admission time. The 42 cases of PHC patients from January to June 2014 were selected as control group, and another 43 cases of PHC patients from July to December 2014 as observation group. Control group was treated by general health guidance and regular follow-up after discharge and observation group by the intervention of self-care self-efficacy. The data were compared in both groups of self-care self-efficacy states, quality of life, symptom burden and unscheduled readmission, the values of white blood cell and serum levels of alanine aminotransferase on the first day after TACE and in the fourth weekend after discharge. ResuIts Patients’ self-care and self-efficacy and the score of quality of life in observation group were higher than those of control group(P<0.05);patients’ symptom burden and unscheduled readmission in observation group were lower than those in control group in the fourth weekend after discharge (P<0.05). There was no statistical significance between two groups in terms of values of white blood cell and serum levels of alanine aminotransferase on the first day after TACE and in the fourth weekend after discharge ( P>0.05). ConcIusion Interventional strategy of self-care and self-efficiency can enhance self-management self-efficacy, reduce the burden of the patient’s symptoms and the unscheduled readmission in intermittent period after surgery with TACE for PHC patients. It can eventually promote patients’ quality of life.关键词
肝动脉化疗栓塞术/原发性肝癌/自我效能/自我管理/生活质量Key words
transcatheter arterial chemoembolization/primary hepatic carcinoma/self-efficacy/self-care/quality of life分类
医药卫生引用本文复制引用
钱多,徐旭娟,李智,沈静慧..原发性肝癌患者肝动脉化疗栓塞术后自我管理效能干预的效果观察[J].护理学报,2016,23(22):44-48,49,6.基金项目
国家自然科学基金资助项目 （）
