Volume 20 Issue 3
Mar.  2022
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LIU Li-xia, MAO Jian-ting, HUANG Xu-fang, WU Qiao-hong. Effect of evidence-based precision nursing model on perioperative psychological stress and postoperative complications in patients with liver cancer undergoing interventional therapy[J]. Chinese Journal of General Practice, 2022, 20(3): 527-530. doi: 10.16766/j.cnki.issn.1674-4152.002393
Citation: LIU Li-xia, MAO Jian-ting, HUANG Xu-fang, WU Qiao-hong. Effect of evidence-based precision nursing model on perioperative psychological stress and postoperative complications in patients with liver cancer undergoing interventional therapy[J]. Chinese Journal of General Practice, 2022, 20(3): 527-530. doi: 10.16766/j.cnki.issn.1674-4152.002393

Effect of evidence-based precision nursing model on perioperative psychological stress and postoperative complications in patients with liver cancer undergoing interventional therapy

doi: 10.16766/j.cnki.issn.1674-4152.002393
Funds:

 2020KY1086

  • Received Date: 2021-06-12
    Available Online: 2022-08-13
  •   Objective  To explore the effects of evidence-based precision nursing mode on peri-operative psychological stress and post-operative complications in patients undergoing liver cancer undergoing intervention therapy.  Methods  Before the implementation, 50 patients from April to December 2019 were included in the control group, and 46 patients after the implementation from January to August 2020 were included in the observation group. Both groups received hepatic arterial chemoembolization, and the control group received conventional perioperative surgery. The observation group adopted evidence-based precision nursing. The scores of psychological stress response, psychological status, compliance, post-operative complications and nursing satisfaction were compared between the two groups.  Results  At 3 days after surgery, the scores of yielding and avoiding status in the medical coping modes questionnaire of the observation group were (7.18±1.77) points and (11.87±2.38) points, which are significantly lower than the (10.48±1.89) points and (13.29±2.33) points of the control group, whereas the score of coping status was (20.64±2.72) points, which is significantly higher than the (18.85±2.93) points of the control group (all P < 0.05). Before discharge, scores of Hamilton Depression Scale (HAMD) and Hamilton Anxiety Scale (HAMA) were significantly lower in the observation group than in the control group (all P < 0.05). The incidence of hypoproteinaemia and gastrointestinal reactions was significantly lower in the observation group than in the control group (all P < 0.05). After surgery, the number of cases with proper exercise and diet control in the observation group was significantly greater than that in the control group (all P < 0.05). The scores of satisfactions with communication ability, operating skills and medical-nursing cooperation of nursing staff in the observation group were higher than those in the control group (all P < 0.05).  Conclusion  The evidence-based precision nursing mode is beneficial to improve psychological stress status and negative emotions of patients undergoing liver cancer intervention therapy and reduce post-operative complications, with high nursing satisfaction.

     

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