Abstract:
Objective To investigate the effect of modified slope lateral position combined with acupoint massage on improving the comfort of patients after liver cancer intervention.
Methods A total of 100 patients with primary hepatic carcinoma undergoing transcatheter arterial chemoembolization (TACE) admitted to our department were divided into control group and observation group by random sampling method. The control group(n=50) underwent preoperative education and postoperative guidance. After operation, patients were in a conventional supine position, and the puncture side limbs were stretched and maintained for 8 to 12 hours. In addition to routine nursing, the observation group was given postoperative positional intervention, the modified slope lateral position combined with acupoint massage was used to improve patients′ comfort. The urination, comfort, low back pain, lower extremity numbness and postoperative local complications and nursing satisfaction were compared between the two groups before and at 24 h after surgery.
Results The observation group had lower incidence of postoperative dysuria, low back pain, lower limb numbness, irritability and insomnia than that in the control group(P < 0.05). There were no significant differences in postoperative bleeding and hematoma at the puncture sites(P>0.05). The postoperative comfort scores and satisfaction in the observation group were higher, and the pain score was lower than that of control group(P < 0.05).
Conclusion Modified slope lateral position combined with acupoint massage can significantly improve the comfort of liver cancer patients with transfemoral intervention.