肝癌经导管肝动脉化疗栓塞术后早期离床活动的循证护理综述

A Review of Evidence-Based Nursing Practice for Early Ambulation after Liver Cancer TACE

术后早期离床活动作为快速康复外科的重要内容,可促进患者恢复,降低术后并发症的发生,近年来已被运用于肝癌经导管肝动脉化疗栓塞术(Transcatheter arterial chemoembolization, TACE)术后的患者。虽然临床已开展肝癌TACE术后早期离床活动的循证护理实践,但在实践中的效果存在差异,参考现有的早期离床活动方案。从早期离床活动概念、TACE术后早期离床活动循证方案的构建、评价指标体系三方面对肝癌TACE术后早期离床活动进行分析和总结,旨在为早期离床活动方案构建和临床护理实践提供借鉴和参考。

As an important part of enhanced recovery after surgery, early postoperative ambulation can promote the recovery of patients and reduce the occurrence of postoperative complications. In recent years, it has been applied to the recovery process of patients with liver cancer after TACE. Although evidence-based nursing practice for early ambulation activities after TACE for liver cancer has been carried out clinically, there are differences in the effect in specific practice. This paper analyzes and summarizes early ambulation activities after TACE for liver cancer from three aspects: the concept of early ambulation activities, the construction of an evidence-based scheme for early ambulation activities after TACE, and an evaluation index system, providing reference for the construction of early ambulation activities and clinical nursing practice.