原发性肝癌TACE术后早期离床活动流程构建的循证实践

Evidence-based nursing practice for construction of early off-bed activity process for primary liver cancer patients after TACE

目的探讨循证护理在原发性肝癌经导管肝动脉栓塞术(TACE)术后早期离床活动流程构建及应用效果。方法将拟择期行TACE术的原发性肝癌患者80例随机分为对照组与观察组,各40例。对照组实施常规护理,观察组利用循证护理构建早期离床活动流程并实施;比较两组患者下床活动时间、术后并发症及焦虑自评量表(SAS)评分。结果观察组术后离床活动时间显著提前,术后皮肤压伤、发热、腰背疼痛发生率及术后3 d SAS评分显著降低,与对照组比较差异有统计学意义(P<0.05,P<0.01)。结论循证护理有效构建了原发性肝癌患者TACE术后早期离床活动流程,缩短了下床活动时间,降低了术后压伤、发热、腰背疼痛并发症,改善了焦虑状况。

Objective To explore the efficacy of evidence-based nursing practice for construction of an early off-bed activity process for primary liver cancer patients after transcatheter arterial chemoembolization(TACE).Methods Eighty patients with primary liver cancer who underwent scheduled TACE procedure were evenly and randomly divided into a control group and an intervention group.The control group received routine nursing care,while the intervention group were additionally subjected to an early off-bed activity process for primary liver cancer patients after TACE which was built through evidence-based nursing methodology.The time to start off-bed activity,incidence rates of postoperative complications and Self-Rating Anxiety Scale(SAS)scores were compared between the two groups.Results The intervention group started off-bed activity significantly earlier than the control group;the incidence rates of postoperative pressure injury,fever,and back pain,and SAS scores on the 3 rd postoperative day in the intervention group were significantly lower than those of the control group(P<0.05,P<0.01).Conclusion The early off-bed activity process for primary liver cancer patients after TACE constructed through evidence-based nursing methodology can shorten the time to start off-bed activity,reduce the incidence rates of postoperative pressure injury,fever,and back pain,and mitigate anxiety levels.