循证护理对预防肝动脉化疗栓塞术后患者恶心呕吐的应用效果

Application effect of evidence-based nursing in the prevention and management of nausea and vomiting in patients after hepatic artery chemoembolization

目的探讨循证护理对预防肝动脉化疗栓塞术后患者恶心呕吐的应用效果。方法选取2018年1月至2021年1月南方医科大学南方医院收治的120例需接受肝动脉化疗栓塞术的原发性肝癌患者为研究对象,按照随机数字表法分为对照组和试验组,每组60例。对照组接受常规肝动脉化疗栓塞术护理干预,试验组在常规护理基础上联合针对恶心呕吐并发症的循证护理干预。比较两组患者恶心呕吐发生情况及对护理的满意度评价情况。结果试验组患者出现恶心呕吐发生率低于对照组,差异有统计学意义(P<0.05)。试验组患者恶心呕吐持续时间短于对照组,差异有统计学意义(P<0.05)。试验组对接受护理干预措施的满意度评价高于对照组,差异有统计学意义(P<0.05)。结论接受肝动脉化疗栓塞术治疗患者实施循证护理措施,可减少术后恶心呕吐的发生,且能够提高患者对医护措施的信赖程度,值得临床推广。

Objective To explore the effect of evidence-based nursing on the prevention of nausea and vomiting in patients after hepatic arterial chemoembolization.Methods A total of 120 patients with primary liver cancer who underwent transcatheter arterial chemoembolization in Nanfang Hospital,Southern Medical University from January 2018 to January 2021 were selected as the research subjects.According to the random number table method,they were divided into control group and experimental group,60 cases in each group.The control group received routine transcatheter arterial chemoembolization nursing intervention,and the experimental group was combined with evidence-based nursing intervention for nausea and vomiting complications on the basis of routine nursing.The incidence of nausea and vomiting and the evaluation of nursing satisfaction were compared between the two groups.Results The incidence of nausea and vomiting in the experimental group was lower than that in the control group,and the difference was statistically significant(P<0.05).The duration of nausea and vomiting in the experimental group was shorter than that in the control group,and the difference was statistically significant(P<0.05).The evaluation of satisfaction with nursing intervention measures in the experimental group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Evidence-based nursing measures for patients undergoing transcatheter arterial chemoembolization can reduce postoperative nausea and vomiting,and improve patients'trust in medical measures,which is worthy of clinical promotion.