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| Application Effect of Evidence-based Oriented Predictive Nursing Intervention in Emergency Treatment of Liver Cancer Rupture and Bleeding |
| MEI Yuan, TANG Linxia, WANG Xiaohong |
| First-author's address: Third People's Hospital of Jiujiang City, Jiangxi Province, Jiujiang 332000, China |
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Abstract Objective: To analyze the application effect of evidence-based oriented predictive nursing intervention in emergency treatment of liver cancer rupture and bleeding and its influence on patients' psychological status. Method: A total of 60 patients with hepatocellular carcinoma (HCC) rupture and bleeding from January to March 2022 in the Emergency Department of Third People' s Hospital of Jiujiang City were selected and divided into an observation group and a control group according to the admisson time, 30 cases in each group. The control group received routine emergency nursing intervention, and the observation group received evidence-based oriented predictive nursing intervention. The hemoglobin, blood partial pressure of oxygen, and oxygen saturation before and after nursing, mental status scale in non-psychiatric settings (MSSNS) scores in waking state, shock correction time and hospitalization time, mortality and incidence of complications during hospitalization were compared between the two groups. Result: Before nursing, there were no significant differences in hemoglobin, blood partial pressure of oxygen, and oxygen saturation between the two groups (P>0.05). After nursing, the hemoglobin, blood partial pressure of oxygen, and oxygen saturation in the observation group were higher than those in the control group (P<0.05). The scores of anxiety, depression, anger, loneliness degree and overall psychological status in the observation group were lower than those in the control group (P<0.05). After nursing, the time of shock correction and hospitalization in the observation group were shorter than those in the control group (P<0.05). There was no significant difference in the mortality between the two groups during hospitalization (P>0.05), and the total incidence of complications in the observation group was lower than that in the control group (P<0.05). Conclusion: Evidence-based oriented predictive nursing intervention applied to HCC rupture and bleeding can improve patients' hemoglobin, blood partial pressure of oxygen, and oxygen saturation, relieve anxiety, depression, anger and other negative psychological emotions, shorten shock correction time and hospitalization time, and reduce the incidence of complications during hospitalization.
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Received: 14 December 2022
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