肝动脉化疗栓塞术后舒适卧位的护理  

The Comfortable Post-Procedure Position for Transcatheter Arterial Chemoembolization Patients

作　　者：王丰松[1] 王宏[1] 费秀珍[1] 曾琴琴[1] 

机构地区：[1]日照市人民医院肿瘤科,山东日照276826

出　　处：《解放军护理杂志》2006年第7期55-56,共2页Nursing Journal of Chinese People's Liberation Army

摘　　要：目的探讨肝动脉化疗栓塞术(transcatheterarterialchemoembolization,TACE)后患者的舒适卧位方式与卧床时间。方法将120例行TACE的患者随机分为实验组(70例)和对照组(50例)。实验组采取TACE术后局部压迫20min,在弹力绷带“8”字加压包扎伤口下,根据患者需要适当调节卧位,6h后下床轻微活动,重心放在健侧。对照组患者按常规医嘱进行护理,术后患者卧床24h,患肢制动24h,期间保持平卧位。结果实验组患者腰酸背痛、烦躁、排尿困难、失眠、疲劳等不适情况比对照组明显减轻(P<0.01)。结论TACE术后根据患者的需要及病情适当调节卧位和卧床时间,能提高患者的舒适度,使患者处于较佳的身心康复状态。Objective To explore the comfortable position and the appropriate duration of keeping in bed for patients undergoing transcatheter arterial chemoembolization （TACE）. Methods A total of 120 TACE patients were randomly divided into two groups. The patients in the experimental group （ n = 70） were given local pressure for 20mins, then the elastic bandage to ＂8＂-shape cross bind up the wound. The patients＇ positions were adjusted comfortably according to their needs. The patients got out of bed with mild activities 6 h after TACE, putting body weight on the unaffected side. The patients in the control group （ n = 50） were cared by routine methods, keeping in-bed for 24 h after the procedure without moving the affected side. Results The incidence symptoms such as lu , dysphoria, dysuria, insomnia and fatigues were found to be lower in the experimental group than those in the control group（ P 〈 0.05 ）. Conclusion The new method, which means adjusting position and duration of lying in bed according to patients＇ needs, could make the patients more comfortable in better physical and mental recovery status.

关 键 词：肝动脉化疗 栓塞 卧位 舒适 护理 

分 类 号：R735.7[医药卫生—肿瘤] R453[医药卫生—临床医学]