自护理论在肝动脉化疗栓塞术患者护理中的应用  

The application effect of self - care in the nursing of patients with transcatheter arterial chemoembolization

作　　者：宾三梅[1] 李桂梅[1] 林芳萍[1] 伍建平[1] 李秀英[1] 

机构地区：[1]广东省肇庆市第一人民医院,526021

出　　处：《国际护理学杂志》2011年第8期1145-1147,共3页international journal of nursing

摘　　要：目的探讨自护理论在肝动脉化疗栓塞术患者护理中的应用效果。方法将163例行肝动脉化疗栓塞术治疗的肝癌患者随机分为自护组83例和对照组80例。对照组采用常规的整体护理方法进行护理，自护组在实施整体护理的基础上采用白护理论的3个护理系统，根据患者不同阶段的自理需求，提供完全补尝、部分补尝、支持教育系统的护理，鼓励患者主动参与自我护理。比较两组患者术后并发症发生率及对护理工作的满意度。结果自护组较对照组患者术后并发症的发生率明显降低，对护理工作的满意度显著提高，与对照组比较，差异有统计学意义（P〈0．01或P〈0．05）。结论应用自护理论护理肝动脉化疗栓塞术患者，可减少术后并发症的发生，提高患者的生活自理能力和生活质量，且提高护理质量。Objective To discuss the application effect of the self - care in the nursing of patients with transcatheter arterial chemoembolization （TACE） . Methods A total of 163 patients with TACE were divided into two groups randomly： 83 cases of self - care group, 80 cases of control group. The patients in control group were taken the routine holistic nursing. While on the basis of the hohstic nurs- ing the patients in self - care groups were taken 3 self - care systems including the whole - compensation, the part - compensation, and sup- port service system according to their condition, and the patients were encouraged to join the nursing. The rate of complications and the de- gree of the satisfaction were compared between two groups. Results After the operation, the rate of complication was much lower in the self - cadre group than that in control group, and the degree of satisfaction to the nursing was obviously increased in contrast with the control group , the difference was very significant （P 〈 0. 01 or P 〈 0. 05 ） Conclusions The application of selfcare on the nursing of patients with TACE can decrease the occurrence rate of complications, improve the ability of daily life and the quality of life and improve the quality of nursing.

关 键 词：自护理论 肝动脉化疗栓塞术 护理 

分 类 号：R473.5[医药卫生—护理学]