对肝癌介入栓塞术后并发症循证护理的临床应用

Clinical application of evidence-based nursing in reducing the incidence of complications after transcatheter arterial chemoembolization for primary liver cancers

目的探讨肝动脉化疗栓塞(TACE)治疗原发性肝癌术后并发症的护理策略。方法入选2010年2月—2013年2月进行肝动脉化疗栓塞(TACE)术的原发性肝癌患者98例,分为常规护理组49例和循证护理组49例,给予不同护理措施,观察两组患者并发症情况以及患者对护理服务的满意程度。结果循证护理措施实施前,两组患者术后各并发症发生率差异均无统计学意义(P>0.05);实施后,循证护理组并发症发生率明显低于常规护理组(P<0.05)。循证护理组患者满意度明显高于常规护理组,差异具有统计学意义(P<0.05)。结论循证护理理论应用于原发性肝癌患者介入栓塞术治疗,对并发症预防有积极意义,能够对护理工作进行积极指导,同时提高护理质量,提升护理人员个人素质。

Objective To discuss the care strategy for patients with primary liver cancer treated with transcatheter arterial chemoembolization （TACE） in order to reduce the incidence of postoperative complications. Methods During the period from Feb. 2010 to Feb. 2013, a total of 98 patients with primary liver cancer were admitted to authors＇ hospital. The patients were randomly divided into routine nursing group （n = 49） and evidence-based nursing group （n = 49）. The conventional nursing measures were employed for patients of the routine nursing group, while evidence-based nursing measures were carried out for patients of the evidence-based nursing group. The incidence of postoperative complications and the patient＇s satisfaction were evaluated, the results were compared between the two groups. Results Before the nursing measures were conducted, the difference in the incidence of postoperative complications between the two groups was not statistically significant （P 〉 0.05）. After the nursing measures were carried out, the incidence of postoperative complications in the evidence- based nursing group was significantly lower than that in the routine nursing group （P 〈 0.05）. The patient＇s satisfaction degree of the evidence-based nursing group was significantly higher than that of the routine nursing group （P 〈 0.05）. Conclusion Evidence-based nursing can effectively prevent the occurrence of postoperative complications in patients with primary liver cancer after receiving TACE, and it can also improve the quality of nursing service as well as the personal qualities of nursing staff.（J Intervent Radiol, 2014, 23： 1099-1102）