To explore the preventive effect of predictive nursing on adverse reactions of symptom management after liver cancer interventional therapy
肝癌介入术后预见性护理对症状管理不良反应的防范效果

摘要

目的 探讨针对肝癌介入手术患者在术后运用预见性护理干预方案对症状管理产生的影响及对不良反应的防范效果。方法 选取我院采用肝癌介入术治疗的患者共计50例，均为2023年1月至2024年12月收治，随机施以分组，各25例，对照组在术后运用常规干预方案，观察组在术后运用预见性护理方案。结果 观察组术后康复指标即排气时间项目、进食时间项目、排便时间项目、下床 活动时间项目、住院时间项目数据均呈更短显示（P<0.05）。观察组不同时点疼痛分值居于更低水平（P<0.05）。观察组术后心理弹性评测分值居于在更高，癌症疲乏评测分值居于更低（P<0.05）。观察组经评测自我护理能力指标评测分值居于更高水平（P<0.05）。观察组经观测术后并发症即便秘、发热等发生率居于更低水平（P<0.05）。结论 针对临床收治的肝癌介入术患者，在术后运用预见性护理方案实施干预，可缩短恢复时间，降低疼痛程度，改善心理弹性水平和癌症疲乏程度，增强自我护理能力，降低并发症率。

Abstract

Objective To explore the effect of predictive nursing intervention program on symptom management and prevention of adverse reactions in patients with liver cancer after interventional surgery.
Methods A total of 50 patients with liver cancer treated with interventional therapy in our hospital from January 2023 to December 2024 were selected and randomly divided into two groups, 25 cases in each group. The control group was treated with routine intervention program after surgery, and the observation group was treated with predictive nursing program after surgery.
Results The postoperative rehabilitation indicators of the observation group, including exhaust time items, eating time items, defecation time items, ambulation time items, and hospitalization time items, were shorter (P<0.05). The pain scores at different time points in the observation group were lower than those in the control group (P<0.05). The postoperative psychological resilience score of the observation group was higher, and the cancer fatigue score was lower (P<0.05). The score of self-care ability in the observation group was higher than that in the control group (P<0.05). The incidence of postoperative complications such as constipation and fever in the observation group was lower than that in the control group (P<0.05).
Conclusion  s For patients with liver cancer undergoing interventional therapy, the application of predictive nursing program in postoperative intervention can shorten the recovery time, reduce the degree of pain, improve the level of psychological resilience and cancer fatigue, enhance self-care ability, and reduce the rate of complications.