自我管理在原发性肝癌行经股动脉插管肝动脉化疗栓塞术患者围术期护理中的应用

Application Effects of Self-management on Perioperative Nursing for Primary Liver Cancer Patients Treated by TACE

目的探讨自我管理在原发性肝癌行经股动脉插管肝动脉化疗栓塞术(transcatheter arterial chemoembolization,TACE)患者围术期护理中的应用效果。方法 2012年6-12月,第二军医大学东方肝胆外科医院收治的原发性肝癌行TACE患者50例,按入院先后将50例患者分为观察组和对照组各25例,所有患者均给予术前健康教育,观察组在此基础上给予系统的自我管理教育。测量两组患者术前15min、术中及术后15min的血压、心率、呼吸的变化。结果观察组患者术中及术后15min的血压、心率及呼吸的的频率均低于对照组差异均有统计学意义(均P<0.01)。结论自我管理的实施能有效降低原发性肝癌行TACE患者围术期的应激反应程度,有利于手术的顺利进行。

Objective To explore the application effects of self-management on perioperative nursing for primary liver cancer （PLC） patients treated by TACE （transcatheter arterial chemoembolization）.Methods Totally 50 patients with PLC were recruited and divided into experimental group and control group.Patients in both groups were given preoperative nursing education,while patients in the experimental group were given additional self-management education.Blood pressure,heart rate and respiratory rate were compared during operation,15 minutes before and after operation.Results Blood pressure,heart rate and respiratory rate in the experimental group were significantly lower than those in the control group（P＜ 0.01）.At the second and third time,outcome of experimental group is lower than that of control group,and the difference is significant.Conclusion Self-management education can ease stress reaction of patients,and it＇s profitable for operation.