Luan Lan, Wang Lin
Department of Nursing, Jiangsu College of Nursing, Huai'an, China.
Department of General Surgery, The Second People's Hospital of Huai'an Xuzhou Medical University, Huai'an, China.
Pak J Pharm Sci. 2019 Sep;32(5(Special)):2455-2458.
To observe and analyze the nursing effect of primary liver cancer before and after transcatheter arterial embolization. The 200 patients with advanced primary liver cancer who had been treated in the Second People's Hospital of Huai'an were selected as research objects. All of them were applied with transcatheter arterial embolization. During perioperative period, nursing work was carried out for patients and the patients were explained with the method, purpose, results and cautions about the treatment; moreover, psychological nursing intervention, dietary intervention, auxiliary examination were performed. The postoperative puncture site and operative limb situations were observed and recorded for medication guidance. All patients were well treated. Adverse reactions after treatment mainly included liver area pain, digestive tract reaction, fever, which were relatively mild and effectively improved with timely medical measures, with no severe complications being left. Comparison of quality of life score and mental status score before and after nursing showed significant difference, p<0.05. To guarantee a smooth and successful implementation of transcatheter arterial embolization for patients with primary liver cancer, the key is to develop a scientific and comprehensive nursing mode to improve curative effect.
观察并分析经导管动脉栓塞术前后原发性肝癌的护理效果。选取在淮安市第二人民医院接受治疗的200例晚期原发性肝癌患者作为研究对象。所有患者均接受经导管动脉栓塞术。围手术期对患者开展护理工作，向患者讲解治疗的方法、目的、效果及注意事项；此外，进行心理护理干预、饮食干预、辅助检查。观察并记录术后穿刺部位及术侧肢体情况以进行用药指导。所有患者均得到良好治疗。治疗后不良反应主要包括肝区疼痛、消化道反应、发热，均相对较轻，经及时医疗措施有效改善，未遗留严重并发症。护理前后生活质量评分及心理状态评分比较差异有统计学意义，P<0.05。为确保原发性肝癌患者经导管动脉栓塞术顺利成功实施，关键是要制定科学全面的护理模式以提高疗效。
