循证护理在原发性肝癌介入治疗术后并发症预防中的应用

The application of evidence-based nursing in preventing complications occurred after interventional treatment of primary liver cancer

目的探讨循证护理在预防原发性肝癌患者介入治疗术后并发症中的效果。方法对54例接受肝动脉化疗栓塞术的原发性肝癌患者,运用循证思维方法对其术后并发症进行寻求实证,针对常见和严重并发症进行全面查找分析原因,制订科学的护理对策,实施预见性护理。结果通过及时的观察与针对性护理,有效减少了患者介入治疗术后并发症的发生,促进患者康复。结论循证护理理论应用于原发性肝癌患者介入治疗术后并发症的预防中,能对护理实践提供科学的指导,提高护理质量和效率,提高护士解决问题的能力。

Objective To investigate the clinical effect of evidence-based nursing in preventing complications occurred after interventional treatment of primary liver cancer.Methods Fifty-four patients of primary liver cancer who had received hepatic arterial chemoembolization were enrolled in this study.Using evidence-based thinking,the author analyzed the causes of complications occurred after the interventional treatment,formulated scientific nursing countermeasures and adopted foreseeable nursing care.Results Through timely observation and targeted care,the incidence of complications after interventional treatment was effectively reduced,moreover,the patient＇s rehabilitation was improved.Conclusion For the prevention of complications occurred after interventional treatment in patients with primary liver cancer,the evidencebased nursing plays an important role.It can provide scientific guidance to nursing practice,improve the quality and efficiency of nursing and enhance the ability of nurses in solving clinical problems.（J Intervent Radiol,2010,19：824-826）