肝癌介入术后卧床时间对患者舒适度的影响

The influence of time of bed rest on comfort index of liver cancer patients after interventional treatment

目的探讨肝癌介入术后卧床时间对患者舒适度及并发症的影响。方法将120例经股动脉穿刺肝癌介入治疗的患者按随机抽样法分为观察组和对照组各60例。观察组采用低过敏性弹力绷带压迫穿刺部位,患肢制动6h后,患者可左右移动或取侧卧位,静卧12h后行床旁活动。对照组术后常规采用低过敏性弹力绷带压迫穿刺部位,患肢制动8h,静卧24h。观察并比较两组卧床时间对患者舒适度及并发症的影响。结果两组患者术后穿刺部位并发症发生率比较无统计学意义,但术后排尿困难、腰背部疼痛、失眠等舒适度比较有统计学意义(P<0.01)。结论采用改进后的护理方法显著提高了患者的舒适度并降低了术后并发症的发生。

Objective To study the influence of time of bed test on comfort index and complications of liver cancer patients after intervention treatment. Methods One hundred and twenty liver cancer patients after interventional therapy via femoral artery puncture were randomly divided into two groups for observing the influence of time of bed rest on comfort index （n=60 in each group）. In the observation group, the patients were pressed with hypoallergenic elastic bandages on the punctured spots, and their affected limbs were immobilize for 6 h. Then the patients could move or be in a lateral position, after 12 h they could do some bedside movements. In the control group, the patients were pressed with traditional elastic bandages on the punctured spots, the affected limbs were immobilized for 8 h, and the patients were kept in-bed for 24 h. Results The postoperative complication rate on the punctured spots were similar in two groups, but there was statistically significant difference in postoperative dysuria, lumbar-back pain and insomnia between two groups （P〈0.01）. Conclusion The improvements on the nursing care could effectively improve the patients＇ comfort and reduce the incidence of postoperative complications.