Effect of Perioperative Comprehensive Nursing Intervention on Transcatheter Arterial Chemoembolization in Patients with Primary Hepatic Carcinoma.

Effect of Perioperative Comprehensive Nursing Intervention on Transcatheter Arterial Chemoembolization in Patients with Primary Hepatic Carcinoma.
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DOI:
10.1155/2022/9000331
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发表时间:
2022
影响因子:
--
通讯作者:
Han, Yu
Han, Yu
中科院分区:
医学4区
文献类型:
--
作者:
Hu, Min;Fan, Ziyan;Han, Yu

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目的研究分析围手术期综合护理干预对原发性肝癌经肝动脉化疗栓塞术(TACE)患者的影响。 随机抽取2019年5月至2022年1月在我院确诊的原发性肝癌患者110例,按单双号随机数字排序分为对照组(n = 55)和观察组(n = 55)。对照组采用常规护理措施,观察组采用综合护理措施。比较两组患者的手术状态、生活质量和护理满意度。 观察组的手术时间、术后卧床时间、住院时间均明显少于对照组,(P < 0.05)短于对照组,观察组有显著性差异(P < 0.05)生活质量评分(躯体功能、情感功能、角色功能、社会功能、认知功能)高于对照组(P < 0.05);观察组发热、腹痛、尿潴留、胃肠道反应等化疗不良反应明显少于对照组观察组总并发症发生率明显低于对照组(P <0. 05)。观察组对护理工作的总体满意度明显高于对照组(P < 0.05)。 围手术期综合护理干预在原发性肝癌TACE治疗中的应用,有助于手术顺利进行,提高患者生活质量,降低化疗反应和并发症的风险,提高患者满意度和护理质量。这些优点证明了综合护理干预在TACE临床实践中更广泛的围手术期应用。
To study and analyze the effect of perioperative comprehensive nursing intervention on transcatheter arterial chemoembolization (TACE) in patients with primary hepatic carcinoma (PHC). One hundred and ten patients with PHC diagnosed in our hospital from May 2019 to January 2022 were randomly selected and divided into a control group (n = 55) and an observation group (n = 55) by random number sorting according to odd and even numbers. Patients in the control group received conventional nursing interventions and those in the observation group received comprehensive nursing interventions. The two groups were compared in terms of surgical status, quality of life (QoL), and nursing satisfaction. The operation time, postoperative bed rest time, and hospital stay in the observation group were significantly (P < 0.05) shorter than those in the control group; the observation group had significantly (P < 0.05) higher scores of quality of life, including somatic function, emotional function, role function, social function, and cognitive function than the control group; chemotherapy adverse reactions including fever, abdominal pain, urinary retention, and gastrointestinal reactions in the observation group were significantly less than those in the control group (P < 0.05); the total incidence of complications in the observation group was significantly (P < 0.05) lower than that in the control group. The total satisfaction with nursing care in the observation group was significantly (P < 0.05) higher than that in the control group. The perioperative application of comprehensive nursing intervention in TACE for patients with PHC aids in the smooth operation, improves patients' QoL, lowers the risk of chemotherapy reactions and complications, and enhances patient satisfaction and nursing quality. These advantages justify a wider perioperative application of comprehensive nursing intervention in TACE clinical practice.
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发表时间: 2020-10-09
期刊: MEDICINE
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