协同护理干预对肝癌TACE患者肝功能和栓塞综合征的影响

Effects of Collaborative Nursing Intervention on Liver Function and Embolic Syndrome in Patients With Hepatocellular Carcinoma After TACE

目的探讨协同护理干预对原发性肝癌经导管肝动脉化疗栓塞术(transcatheter arterial chemoembolization,TACE)患者术后肝功能及栓塞综合征(post embolization syndrome,PES)的影响。方法选择2022年7月—2023年2月在贵港市人民医院肝胆胰外科行TACE治疗的92例原发性肝癌患者,随机分为对照组与干预组,每组46例。对照组采用常规护理,干预组在常规护理基础上实施协同护理干预。将两组患者入院、出院前肝功能、术后PES各症状发生率进行比较。结果入院时两组患者肝功能比较,差异无统计学意义(P>0.05);出院前干预组患者肝功能优于对照组,差异有统计学意义(P<0.05);对照组PES各症状的发生率高于干预组(P<0.05)。结论协同护理干预有助于改善原发性肝癌TACE患者肝功能情况,减少PES的发生,提高患者的生活质量。

Objective To investigate the effects of collaborative nursing intervention on liver function and post embolization syndrome(PES)in patients with transcatheter arterial chemoembolization(TACE)after surgery.Methods A total of 92 patients with primary liver cancer who received TACE treatment in the department of hepatobiliary and pancreatic surgery,Guigang City People's Hospital from July 2022 to February 2023 were randomly divided into control group and intervention group,46 cases in each group.The control group received routine nursing,and the intervention group received collaborative nursing intervention based on routine nursing.Liver function at admission and discharge and incidence of PES were compared between the two groups.Results There was no significant difference in liver function between the two groups at admission(P>0.05).At discharge,the liver function of the intervention group was better than that of the control group,the difference was statistically significant(P<0.05).The incidence of PES symptoms in control group was higher than that in intervention group(P<0.05).Conclusion Collaborative nursing intervention can improve the liver function of TACE patients,reduce the occurrence of embolic syndrome,and improve the quality of life of patients.