晚期肾癌行肾动脉栓塞化疗术患者的综合护理效果.docVIP

晚期肾癌行肾动脉栓塞化疗术患者的综合护理效果 　　[摘要] 目的 探讨综合护理干预对行肾动脉栓塞化疗术的晚期肾癌患者治疗效果的影响。 方法 回顾性分析哈尔滨医科大学附属肿瘤医院2010年5月～2014年5月收治的80例晚期肾癌患者的临床资料，均行肾动脉栓塞化疗术治疗，根据护理方法不同分为观察组和对照组，每组各40例。观察组行综合护理干预，对照组行常规护理干预，比较两组患者治疗前后肿瘤变化，护理干预前后的焦虑情况，并发症发生率。 结果 观察组治疗后肿瘤直径[（6.4±1.3）cm]小于对照组[（6.8±1.5）cm]，但差异无统计学意义（P 0.05）；观察组和对照组护理后SAS评分分别为（33.4±7.2）、（43.2±9.4）分，并发症总发生率分别为27.5%（11/40）、50.0%（20/40），差异均有统计学意义（均P 0.05）。 结论 综合护理干预有助于减轻行肾动脉栓塞化疗术的晚期肾癌患者的焦虑心理，全面减少术后并发症发生风险，提高治疗效果。 　　[关键词] 肾癌；肾动脉栓塞化疗术；护理 　　[中图分类号] R737.11 [文献标识码] A [文章编号] 1673-7210（2015）01（b）-0133-04 　　[Abstract] Objective To discuss and analyze the impact of comprehensive nursing intervention on therapeutic effects of patients with advanced renal cell carcinoma treated by renal artery embolism chemotherapy. Methods From May 2010 to May 2014， in Cancer Hospital Affiliated to Harbin Medical University， the clinical data of 80 patients with advanced renal cell carcinoma were retrospectively analyzed and divided into observation group and control group， according to different nursing methods， with 40 cases in each group. All patients were all treated by renal artery embolism chemotherapy， the observation group was given comprehensive nursing intervention and control group was given routine nursing intervention. Tumor changes before and after treatment， anxiety conditions before and after nursing intervention， and complication occurrence rates of the 2 groups were compared. Results After the treatment， tumor diameter of observation group [（6.4±1.3） cm] was smaller than control group [（6.8±1.5） cm]， but the difference was not statistically significant （P 0.05）； SAS scores in observation group and control group after treatment were （35.7±8.4）， （44.8±10.6） points， the complication rate were 27.5% （11/40）， 50.0% （20/40） respectively， the differences were statistically significant （P 0.05）. Conclusion Comprehensive nursing intervention can relieve anxiety of patients with advanced renal cell carcinoma treated by renal artery embolism chemotherapy，