饮食干预联合腹部热敷对肝癌TACE患者术后恶心、呕吐的影响  

Effect of diet intervention combined with abdominal hot compress on postoperative nausea and vomiting in TACE patients with liver cancer

作　　者：白璐璐 牛瑛 王娇 Bai Lulu;Niu Ying;Wang Jiao(Department of General Surgery,Nanyang Central Hospital,Nanyang Henan 473000,China)

机构地区：[1]南阳市中心医院普通外科,河南南阳473000

出　　处：《保健医学研究与实践》2022年第12期127-130,共4页Health Medicine Research and Practice

摘　　要：目的 探讨饮食干预联合腹部热敷对肝癌肝动脉化疗栓塞术(TACE)患者术后恶心、呕吐的影响,以期为临床治疗提供参考。方法 选择2019年12月—2021年6月在南阳市中心医院行TACE治疗的肝癌患者98例作为研究对象。采用随机数字表法将患者分为观察组与对照组,每组49例。对照组患者给予常规干预,观察组患者在常规干预基础上给予饮食干预联合腹部热敷。比较2组患者术后第1天恶心、呕吐发生率及严重程度。比较2组患者手术当天、术后第1天的呕吐次数、呕吐量。比较2组患者护理前后(护理后为出院时)癌症治疗功能评价系统之肝胆量表(FACT-HEP)评分。结果观察组患者恶心、呕吐发生率及术后恶心、呕吐严重程度评分均低于对照组,差异均有统计学意义(P<0.05)。观察组患者手术当天、术后第1天的呕吐次数、呕吐量均少于观察组,差异均有统计学意义(P<0.05)。护理前,2组患者FACTHEP中功能状况、情感状况、社会/家庭状况、生理状况评分及总分比较,差异无统计学意义(P>0.05)。护理后,2组患者FACT-HEP中功能状况、情感状况、社会/家庭状况、生理状况评分及总分均高于护理前,且观察组高于对照组,差异均有统计学意义(P<0.05)。结论 饮食干预联合腹部热敷可缓解肝癌TACE患者术后恶心、呕吐严重程度,减少呕吐次数及呕吐量,提高患者生活质量,值得推广应用。Objective To investigcate the effect of diet intervention combined with abdominal hot compress on postoperative nausea and vomiting in patients with TACE for liver cancer,so as to provide evidence for clinical treatment.Methods Ninety-eight patients with liver cancer who underwent TACE in Nanyang Central Hospital from December 2019 to June 2021were selected as the study participants.The patients were randomly assigned to the observation group and control group,with 49 cases in each group.Patients in the control group received the conventional intervention,and patients in the observation group received dietary intervention combined with abdominal hot compress based on the conventional intervention.The incidence and severity of nausea and vomiting were compared between the 2 groups on the first day after surgery.The number and amount of vomiting were compared between the 2 groups on the day of surgery and the first day after surgery.The Functional Assessment of Cancer Therapy-Hepatobiliary(FACT-Hep) scores were compared between the two groups before and after nursing(after nursing as discharge).Results The incidence of nausea and vomiting and the severity score of postoperative nausea and vomiting in the observation group were significantly lower than those in the control group(P<0.05).The vomiting frequency and vomiting volume on the day of the operation and the first day after the operation in the observation group were significantly less than those in the observation group(P<0.05).Before nursing,there was no significant difference in functional status,emotional status,social/family status,physical status scores,and total score between the two groups(P>0.05).After nursing,the functional status,emotional status,social/family status,physical status scores,and total score of FACT-HEP in the two groups were significantly higher than those before nursing,and the observation group was higher than the control group(P<0.05).Conclusion Diet intervention in combination with abdominal hot compress can relieve the severity o

关 键 词：饮食干预 腹部热敷 肝癌 恶性肿瘤 

分 类 号：R473.73[医药卫生—护理学]