经导管肝动脉化疗栓塞术治疗肝癌患者围术期的预见性护理

Perioperative predictive nursing for liver cancer patients with transcatheter arterial chemoembolization

  • 摘要: 目的 探讨经导管肝动脉化疗栓塞术(TACE)治疗肝癌患者的效果及围术期预见性护理干预。 方法 收集住院并接受TACE治疗的原发性肝癌患者75例,随机分为观察组35例与对照组40例。对照组行常规护理,观察组在对照组的基础上结合预见性护理。比较2组患者术后并发症发生情况和出院时患者的满意度。 结果 观察组患者恶心呕吐、腹泻、发热、局部出血、尿潴留、压疮、骨髓抑制、肝功能减退的发生率显著低于对照组(P<0.05), 患者满意度显著高于对照组(P<0.05)。 结论 预见性护理可以降低肝癌患者TACE后的并发症发生率,提高患者满意度。

     

    Abstract: Objective To explore the effect of perioperative predictive nursing intervention for liver cancer patients with transcatheter arterial chemoembolization(TACE). Methods Totally 75 patients with primary liver cancer by TACE treatment were randomly divided into observation group(n=35)and control group(n=40). The control group was received routine nursing, while the observation group was given predictive nursing on the basis of the control group. The postoperative complications and satisfaction degree at discharge were compared between two groups. Results The incidence rates of nausea and vomiting, diarrhea, fever, local hemorrhage, urinary retention, pressure ulcer, bone marrow suppression and liver dysfunction in the observation group were significantly lower than those in the control group(P<0.05), and the satisfaction degree of the patients was significantly higher than that of the control group(P<0.05). Conclusion Predictive nursing can reduce the incidence of complications in patients with liver cancer after TACE and improve patients' satisfaction degree.

     

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