肝癌介入治疗手术患者不同卧床时间与卧床体位研究

Research on different in-bed time and in-bed ways of interventional therapy on liver cancer patients

目的比较何种卧床时间和卧床方式有助于改善肝癌患者的心理状态和舒适度。方法选取笔者所在医院2010年8月～2011年8月收治的180例肝癌患者为研究对象,随机分为观察组和对照组,观察组卧床12h,对照组卧床24h,参照茹海凤等的的相关临床研究标准对效果进行评价。结果观察组患者中有3例穿刺部位出现血肿,而对照组患者则有2例出现血肿,两组比较差异无统计学意义(P>0.05)。两组患者的舒适度比较,观察组患者在排尿困难、失眠和腰背痛3项指标均优于对照组患者,差异有统计学意义(P<0.05)。结论缩短了卧床时间和改变卧床体位后,既没有阻碍患者的恢复效果,也没增加并发症的发生率,还能有效增加患者的舒适度,提高患者对治疗的认可和今后治疗的依从性。因此笔者认为这种改进方案适合在今后临床护理当中推广使用。

Objective To explore what kind of in-bed time and in-bed way can help to improve the mental state and comfort index of cancer patients.Methods 180 cases of cancer patients admitted in our hospital from August 2010 to August 2011 were selected as the clinical research object.They were randomly divided into two groups,the in-bed time of observation group was 12 h and the control group was 24 h.The effect was evaluated by the relevant clinical research standard of Ru Haifeng.Results 3 cases of patients in the observation group experienced hematoma in injection site and 2 cases in the control group experienced hematoma,the difference was not statistically significant（P 0.05）.The comparison of comfort index between two groups showed that the observation group were significant lower than the control group in the dysuria,insomnia and back pain,the differences were statistically significant（P 0.05）.Conclusion Shorten the in-bed time and changed the in-bed way has no effect on the recovery of patients and doesn＇t increase the rate of complication.It also can improve the comfort index of patients,increase the recognition of treatment and increase the compliance of patients.So we think this improvement program is suit to be widely spread in clinic.