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

肝切除患者术后恢复模式的结构分析及围手术期护理模式的建立

基本信息

批准号：
13672502
负责人：
AKASHI Keiko
金额：
$ 2.05万
依托单位：
Mie University
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
2001
资助国家：
日本
起止时间：
2001 至 2003
项目状态：
已结题

项目摘要

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.

1.近10年文献研究：（1）整理了在日本期间护士撰写的有关肝切除和肝移植的文献。报道了大量有价值的护理经验，为提高护理质量做出了贡献。(2)本文综述了国外肝脏外科护理研究的动态。在肝癌发病率低的背景下，以肝移植研究为主，生活质量和个人经验的定性研究最为常见。2.肝切除术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和缺乏感觉，他们是他们平常的自我，他们根据自己的力量来判断自己的身体状况，并尽最大努力改善自己的状况。(2)一项对成人活体肝移植受者和供体的调查表明，需要根据术后时间通过合适的途径进行营养管理，特别是肠内营养对预防感染至关重要的受者的疗效。(3)通过实际病例指出ICU内呼吸道感染、血流感染、伤口感染、腹腔内感染的护理需要。(4)肝切除或活体肝移植患者的心理状态受病程、躯体疼痛、治疗环境和家庭关系的影响。