循证护理干预对肝癌患者TACE术后不良反应发生率及护理满意度的影响  

Influence of Evidence-Based Nursing Interventions on Adverse Reaction Rate and Clinical Satisfaction after TACE in Patients with Liver Cancer

作　　者：王洋[1] 底瑞青[2] 周纪妹 张延藏 刘卫萍[4] WANG Yang;DI Rui-qing;ZHOU Ji-mei;ZHANG Yan-zang;LIU Wei-ping(Interventional Department,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China;Nursing Department,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China;Comprehensive Medicine Department,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China;Vascular Surgery Department,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院介入科,郑州450052 [2]郑州大学第一附属医院护理部,郑州450052 [3]郑州大学第一附属医院综合医学部,郑州450052 [4]郑州大学第一附属医院血管外科,郑州450052

出　　处：《中国合理用药探索》2021年第5期81-84,共4页Chinese Journal of Rational Drug Use

摘　　要：目的:探究循证护理干预对肝癌患者经导管动脉化疗栓塞(TACE)术后不良反应发生率及护理满意度。方法:选取本院2017年9月~2019年9月收治的120例拟行TACE的肝癌患者为研究对象,采用随机数字表法分为干预A组(循证护理干预)与干预B组(常规护理),每组60例;探讨实施不同护理对不良反应发生率及护理满意度的影响。结果:干预B组并发症发生率(16.67%)高于A组(3.33%,P<0.05),护理前研究对象在生活质量各项评分上均无统计学差异(P>0.05);护理后干预B组社会能力、生理职能、心理健康、生理能力、生活积极性、情感职能、机体疼痛得分以及总得分均低于A组(P<0.05);干预B组满意度(85.00%)低于A组(98.33%,P<0.05)。结论:对拟行TACE的肝癌患者采取循证护理干预后,可减少术后不良反应发生率,改善患者生活质量,提升护理满意度,该方法值得应用与推广。Objective:To explore the influence of evidence-based nursing interventions on adverse reaction rate and clinical satisfaction after transcatheter arterial chemoembolization(TACE)in patients with liver cancer.Methods:120 liver cancer patients of undergoing TACE in our hospital from September 2017 to September 2019 were chosen as research subjects.According to random number table,patients were assigned to group A(evidence-based nursing interventions)and group B(routine care),60 cases in each group.The effect of different nursing on the incidence of adverse reactions and clinical satisfaction was discussed.Results:Complication rate in group B(16.67%)was significantly higher than group A(3.33%,P<0.05).Before intervention,quality of life scores between two groups were not significantly different(P>0.05);after intervention,the single and overall scores of social function,role physical,mental health,physiological function,living enthusiasm,role emotional and bodily pain in group B were significantly lower than group A(P<0.05);nursing satisfaction in group B(85.00%)was significantly lower than group A(98.33%,P<0.05). Conclusion:After taking evidence-based nursing intervention for liver cancer patients undergoing TACE,it can remarkably reduce the adverse reaction rate,improve the quality of life and clinical satisfaction.It is worthy of application and promotion.

关 键 词：肝癌 介入治疗 循证护理 不良反应 满意度 

分 类 号：R473[医药卫生—护理学]