CalliSpheres载药微球经肝动脉化疗栓塞治疗结直肠癌肝转移的效果观察及护理体会  

CALLISPHERES DRUG-LOADED MICROSPHERES IN TREATINGPATIENT WITH COLORECTAL LIVER METASTASES VIATRANSCATHETER ARTERIAL CHEMOEMBOLIZATION

作　　者：张永会 郑桂梅 刘松 ZHANG Yong-hui;ZHENG Gui-mei;LIU Song(Linyi Tumor Hospital,Linyi,China 276034)

机构地区：[1]临沂市肿瘤医院,山东临沂276034

出　　处：《山东医学高等专科学校学报》2024年第3期11-14,共4页Journal of Shandong Medical College

基　　金：临沂市重点研发计划项目(No.2022YX0021)。

摘　　要：目的探讨不可手术切除结直肠癌肝转移患者的治疗及护理方法。方法将60例不可手术切除结直肠癌肝转移患者随机分为两组,各30例。两组均行CalliSpheres载药微球经肝动脉化疗栓塞治疗,对照组采用常规护理,观察组采用叙事护理。比较两组肿瘤控制情况、护理干预效果。结果观察组疾病控制率为90%,高于对照的66.67%(χ^(2)=4.81,P=0.028);观察组SAS、SDS、CD-RISC评分改善程度、护理满意度均优于对照组(P<0.05)。结论应用叙述护理模式有利于提高DEB-TACE治疗不可切除结直肠癌肝转移患者的临床疗效,改善患者负性情绪,提升患者护理满意度。Objective To explore the treatment and nursing for the patient with unresectable colorectal liver metastases.Methods 60 patients with unresectable l colorectal liver metastases were randomly divided into two groups,with 30 cases in each group.Both groups were treated with CalliSpheres drug-loaded microspheres via transcatheter arterial chemoembolization.The control group received routine nursing,while the observation group received narrative nursing.The effects of tumor control and nursing intervention were compared between the two groups.Results The rate of disease control in the observation group was 90%,higher than 66.67%in the control group(χ2=4.81,P=0.028).The improvement degree of SAS,SDS and CD-RISC scores and nursing satisfaction in the observation group were more than those in control group(P<0.05).Conclusion Narrative nursing help to improve the clinical effect of DEB-TACE in treating unresectable colorectal liver metastases and enhance patients'nursing satisfaction.

关 键 词：结直肠癌 肝转移癌 经导管肝动脉化疗栓塞术 叙事护理 

分 类 号：R735.37[医药卫生—肿瘤]