Structural Analysis of the Postoperative Recovery Patterns of Hepatectomy Patients and Development of a Perioperative Nursing Model

1.近10年的文献研究：(1)整理了日本期间护士撰写的有关肝切除术和肝移植的文献。大量宝贵的护理经验已被报道，并有助于提高护理质量。(2)调查了国外肝脏外科护理研究的发展趋势。在肝癌较少的背景下，以肝移植研究为主，最常见的是关于生活质量和个人经历的定性研究。肝切除术患者和活体肝移植患者的护理：(1)根据肝切除术患者的个人经历，发现患者感到身体疼痛，感觉不到自己是平常的自己，以自己的力量判断自己的身体状况，并尽最大努力改善自己的状况。(2)对成人活体肝移植受者和供者的调查表明，需要根据术后时间选择合适的营养管理途径，尤其是肠内喂养的效果，预防感染至关重要。(3)通过实际病例，指出ICU呼吸道感染、血流感染、伤口感染、腹腔感染相关护理的必要性。(4)肝切除术或活体肝移植患者的心理状态受病程、身体疼痛及治疗环境、家庭关系等因素的影响。

1.Study of the literature over the past 10 years: (1) We organized the literature on hepatectomy and liver transplantation authored by nurses during in Japan. A great deal of valuable nursing experience has been reported and has contributed to improving the quality of nursing. (2) We surveyed the trends in nursing research related to liver surgery abroad. Against a background in which there were few liver cancers, studies on liver transplantation predominated, and qualitative studies dealing with QOL and personal experience were the most common.2.Nursing of hepatectomy patients and living-donor liver transplantation patients: (1) Based on the personal experience of hepatectomy patients, it was found that patients had felt physical pain and a lack of feeling that they were their usual selves, had judged their physical condition by their own strength, and had made as great an effort as possible to improve their condition. (2) A survey of adult living-donor liver transplantation recipients and donors suggested the need for nutrition management by a suitable route according to the postoperative period, and especially the efficacy of enteral feeding in recipients in whom prevention of infection is vitally important. (3) The need for nursing related to respiratory tract infection, bloodstream infection, wound infection, and intra-abdominal infection in the ICU was pointed out through actual cases. (4) The mental status of patients who have undergone hepatectomy or living-donor liver transplantation was found to be influenced by their course, physical Pain and the treatment environment, and family relations.