Qing Yanyun, Yang Juan, Gu Yanli
The Nanhua Affiliated Hospital, Department of First Oncology, Hengyang Medical School, Universitity of South China, Hengyang, Hunan 421002, China.
Emerg Med Int. 2022 Jul 5;2022:2744007. doi: 10.1155/2022/2744007. eCollection 2022.
To explore the emergency nursing countermeasures and nursing experience of patients with primary liver cancer nodule rupture and hemorrhage.
30 patients with primary liver cancer nodule rupture and hemorrhage treated in our hospital since January 2020 after the implementation of emergency nursing countermeasures were selected as the observation group, and another 30 patients with primary liver cancer nodule rupture and hemorrhage treated in our hospital before January 2020 were selected as the control group. The control group received basic nursing intervention, while the observation group received emergency nursing measures. The hemoglobin level, blood oxygen saturation monitoring value, and partial pressure of oxygen of patients with hemorrhagic shock due to nodular rupture of primary liver cancer were compared between the two groups at admission and after nursing care. All indexes of patients during the perioperative period were recorded. The incidence of complications, mortality, and nursing satisfaction rates of the patients' families were compared between the two groups.
After nursing care, the observation group's patients' hemoglobin level, blood oxygen saturation monitoring value, and partial pressure of oxygen were higher than those of the control group's patients ( < 0.05). The intraoperative bleeding volume, shock correction time, and discharge time of patients in the observation group were lower than those of patients in the control group ( < 0.05). The incidence of complications and mortality in the observation group was significantly lower than those in the control group ( < 0.05). The nursing satisfaction rate of patients in the observation group was higher than that of the control group ( < 0.05).
The results of emergency nursing intervention in patients with primary liver cancer rupture and hemorrhage are reliable, which can significantly improve perioperative indicators of patients, reduce complications and mortality, improve nursing satisfaction, and effectively shorten the hospital stay of patients.
探讨原发性肝癌结节破裂出血患者的急诊护理对策及护理体会。
选取2020年1月我院实施急诊护理对策后收治的30例原发性肝癌结节破裂出血患者作为观察组,另选取2020年1月前我院收治的30例原发性肝癌结节破裂出血患者作为对照组。对照组采取基础护理干预,观察组采取急诊护理措施。比较两组原发性肝癌结节破裂出血致失血性休克患者入院时及护理后的血红蛋白水平、血氧饱和度监测值及氧分压。记录患者围手术期各项指标。比较两组患者并发症发生率、死亡率及患者家属护理满意度。
护理后,观察组患者血红蛋白水平、血氧饱和度监测值及氧分压高于对照组患者(P<0.05)。观察组患者术中出血量、休克纠正时间及出院时间低于对照组患者(P<0.05)。观察组并发症发生率及死亡率明显低于对照组(P<0.05)。观察组患者护理满意度高于对照组(P<0.05)。
原发性肝癌破裂出血患者急诊护理干预效果可靠,可显著改善患者围手术期指标,降低并发症及死亡率,提高护理满意度,有效缩短患者住院时间。