集束化护理干预在肝癌患者TACE术后护理中的应用

Application of bundle nursing intervention for liver cancer patients after TACE

目的 探讨集束化护理干预在肝癌患者TACE术后护理中的应用效果.方法 将行TACE治疗的肝癌患者110例随机分为实验组和对照组（每组各55例）.对照组给予TACE术后常规护理措施,实验组在此基础上应用集束化护理干预.分别于术前1 d、术后24 h、术后1周调查两组患者疼痛评分并记录恶心呕吐反应发生情况;出院前调查两组患者对护理工作的满意度并运用电子病历His系统调取数据,比较两组患者的平均住院日及住院费用.结果 术前1 d,两组患者疼痛评分及恶心呕吐次数比较,差异均无统计学意义（P〉0.05）;术后24 h,两组患者疼痛评分及恶心呕吐次数均不同程度升高,实验组患者上升程度小于对照组,差异有统计学意义（P〈0.01）;术后1周,两组患者上述指标差异均有统计学意义（P〈0.01）;实验组患者对护理工作整体满意度优于对照组,差异有统计学意义（P〈0.05）;实验组患者平均住院日及住院费用均低于对照组,差异有统计学意义（P〈0.05）.结论 实施集束化护理干预能够降低肝癌患者TACE术后疼痛程度及恶心呕吐发生率,提高患者对护理工作的满意度,缩短平均住院日并降低平均住院费用.

Objective To explore the effect of carrying out bundle nursing intervention for liver cancer pa-tients after TACE. Methods A total of 110 cases of liver cancer patients with TACE treatment were divided into experi-mental group and control group randomly （55 cases in each group） . TACE postoperative conventional nursing measures were given to control group, and bundled nursing intervention was applied to experimental group on this basis. The pain scores of the two groups of patients were investigated 1 day before operation, 24 hours after operation and 1 week after operation. In addition, the nausea and vomiting occurrence was recorded. The satisfaction of two groups of patients to nursing work was investigated before discharge, and electronic medical record His system was used to obtain data to compare the average length of stay and hospitalization costs of patients in two groups. Results The day before interven-tion, the differences in the pain scores, nausea and vomiting reactions between the two groups had no statistical signifi-cance （P〉0. 05） . 24 hours after the intervention, the pain scores, nausea and vomiting reactions of the two groups both increased variedly, with the experimental group increased in a less range than the control group＇s （P〈0. 01） . 1 week after the intervention, the difference of above scores between the two groups bears statistical significance （ P〈0. 01 ） . The difference of satisfaction towards nursing work between the two groups bears statistical significance （ P〈0. 05）. The average lengths of stay and hospitalization expenses for experimental group were lower than the control group, which had statistical significance （ P〈0. 05 ） . Conclusions The bundle nursing intervention can effectively reduce the degree of pain, the occurrence rate of nausea and vomiting for liver cancer patients after TACE, improve the satisfaction level of the patients towards nursing work, shorten average length of stay and reduce the average hospitalization expenses.