患者参与管理模式在肝癌动脉化疗栓塞术护理中的应用研究  

The application of patient-participation management mode in nursing care for patients receiving hepatic artery chemoembolization

作　　者：李玉莲[1] 莫伟[1] 蔡益民[1] 刘爱兰[1] LI Yulian;MO Wei;CAI Yimin;LIU Ailan(Department of Vascular Surgeryr Hunan Provincial People's Hospital,Changsha,Hunan Province 410005,China)

机构地区：[1]湖南省人民医院血管外科,长沙410005

出　　处：《介入放射学杂志》2021年第4期408-411,共4页Journal of Interventional Radiology

摘　　要：目的探讨患者参与管理模式在肝癌患者行TACE护理中的应用效果。方法选择于行TACE术的原发性肝癌患者80例,2019年1至6月收治的40例患者为对照组,实施常规护理;2019年7至12月收治的40例患者为观察组,引入患者参与管理模式。比较两组患者TACE治疗自我护理能力、患者满意度和术后并发症发热、疼痛、胃肠道反应及穿刺点情况等方面的差异。结果观察组患者自我护理能力评分、患者满意度、术后并发症(疼痛、胃肠道反应、穿刺点情况)方面均优于对照组,差异有统计学意义(P<0.05),术后并发症发热比较无明显区别,差异无统计学意义(P>0.05)。结论患者参与的管理模式能有效提升行TACE术患者的自我护理能力,降低术后并发症的发生,提升患者的满意度。Objective To discuss the application value of patient-participation management mode in nursing care for patients with primary hepatocellular carcinoma(HCC)receiving transcatheter arterial chemoembolization(TACE).Methods A total of 80 HCC patients were enrolled in this study.Forty patients,who were admitted to authors’hospital during the period from January 2019 to June 2019,were used as control group and received routine nursing measures.Other 40 patients,who were admitted to authors’hospital during the period from July 2019 to December 2019,were used as observation group and received patient-participation management mode nursing measures.The patient’s self-care ability for TACE treatment,patient’s satisfaction with nursing care,and the post-TACE incidences of fever,pain,gastrointestinal reactions,puncture point complications,etc.were compared between the two groups.Results The patient’s self-care ability score,the degree of patient’s satisfaction with nursing care,and the post-TACE complications(pain,gastrointestinal reactions,puncture point complications)in the observation group were remarkably better than those in the control group,the differences were statistically significant(P<0.05).No statistically significant difference in the occurrence of postoperative fever existed between the two groups(P>0.05).Conclusion The patient-participation management nursing mode can effectively improve the self-care ability of HCC patients receiving TACE,reduce the incidence of postoperative complications and improve the degree of patient’s satisfaction with nursing care.

关 键 词：患者参与 管理模式 肝癌 肝动脉化疗栓塞 

分 类 号：R735.7[医药卫生—肿瘤]