摘要
目的 评估综合护理干预对TACE术后胃肠反应的效果。方法 随机抽取2023年8月至2024年8月期间在我院行肝动脉化疗栓塞术(TAcE)治疗的肝癌患者100例，运用随机数字表法将入选的患者分成两组，共包括观察组和对照组，每一组中有患者50例。对照组行常规护理，观察组采取综合护理干预,分析并对比两组取得的临床护理效果。结果 两组最终结果比较后显示，观察组患者的焦虑情绪以及遵医行为改善效果均优于对照组，术后患者疼痛程度与对照组相比明显减轻，胃肠反应发生率明显低于对照组，术后卧床时间和住院时间均短于对照组，最终患者的生活质量与对照组相比显著提高，（P＜0.05）。结论 在肝癌患者行TACE术期间开展综合护理干预，可有效缓解患者的负性情绪，增强患者的遵医行为，减轻患者术后疼痛程度，减少胃肠道反应发生，促进患者术后身体恢复，改善患者生活质量。
关键词： 肝癌；TACE术；胃肠反应；综合护理干预；效果评估
Abstract
Objective To evaluate the effect of comprehensive nursing intervention on gastrointestinal response after TACE. Methods 100 liver cancer patients with liver cancer treated by hepatic artery chemoembolization (TAcE) in our hospital from August 2023 to August 2024 were randomly selected. The selected patients were divided into two groups by random number table, including observation group and control group, with 50 patients in each group. The control group performed routine nursing, and the observation group adopted comprehensive nursing intervention to analyze and compare the clinical nursing effects achieved by the two groups. Results Comparing the final results of the two groups showed that the anxiety and compliance of the observation group were better than the control group, the pain degree of the postoperative patients was significantly reduced compared with the control group, the incidence of gastrointestinal reaction was significantly lower than that of the control group, the postoperative bed time and hospital stay were shorter than that of the control group, and the quality of life of the patients was significantly improved compared with the control group, (P <0.05). Conclusion Comprehensive nursing intervention during TACE for liver cancer patients can effectively relieve the negative mood, enhance the compliance behavior, reduce the postoperative pain, reduce the occurrence of gastrointestinal reactions, promote the postoperative physical recovery, and improve the quality of life of patients.
Key words： Liver cancer; TACE; Gastrointestinal reaction; Comprehensive nursing intervention; Effect evaluation
参考文献 References
[1] 卢海婷,李小银,郭燕霞.穴位按压在缓解TACE术后持续动脉化疗患者胃肠道反应中的效果观察[J].微创医学,2021,16(6):838-841.
[2] 万鹏夏,沈鸣雁,韩琳秋,等.肝癌经导管动脉化疗栓塞术后胃肠道反应管理的证据总结[J].介入放射学杂志,2024,33(4):438-442.
[3] 郭燕,贾守梅,王安妮,等.肝癌患者肝动脉化疗栓塞术后栓塞综合征症状评估问卷的编制及信效度检验[J].中国实用护理杂志,2022,38(22):1721-1727.
[4] 李如贵,陈水英.综合护理在原发性肝癌患者肝动脉介入化疗栓塞术护理中的应用[J].湖北科技学院学报（医学版）,2020,34(1):48-52.
[5] 马妙云.探讨对肝癌经皮穿刺进行肝动脉栓塞化疗术治疗患者采取有效护理措施对治疗效果的影响[J].世界最新医学信息文摘,2020,20(44):277-278.
[6] 袁茹,陈瑞瑞.中晚期原发性肝癌行经肝动脉化疗栓塞术(TACE)患者的围术期护理方法[J].自我保健,2021，19(7):165-166.
[7] 刘剑芳.原发性肝癌肝动脉化疗栓塞术围术期心理干预及健康教育的应用效果[J].河南外科学杂志,2021,27(1):93-95.
[8] 张瑶.肝癌介入栓塞综合征的临床护理研究进展[J].康颐,2022，15(13):296-298.
[9] 李玉莲,莫伟,蔡益民,等.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[J].介入放射学杂志,2021,30(4):408-411.
[10] 刘明婷.原发性肝癌行介入治疗(TACE)术后并发症的护理[J].健康忠告,2021,15(7):56.