现代护理模式在肝癌介入治疗围术期的应用(1)
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[摘要] 目的 探讨在肝癌介入治疗围术期间开展“以患者为中心”的现代护理模式的疗效。 方法 将87例行介入治疗的肝癌患者在围术期间按护理方法分成A组45例、B组42例，A组实施现代护理模式、B组实施传统护理模式，评估两种护理模式的效果。 结果 A组较B组患者的情绪状态平稳，介入术中配合满意，家属满意度高(P < 0.05)，术后的不良反应降低(P < 0.05)。 结论 在肝癌介入治疗的围术期，“以患者为中心”的现代护理模式的疗效明显优于传统护理模式。
[关键词] 肝癌；介入治疗；心理护理；现代护理模式
[中图分类号] R735.4 [文献标识码] C [文章编号] 1673-7210(2012)08(a)-0142-03
Perioperative application of modern nursing mode in TACE of hepatic carcinoma
TAN Zhiming TANG Rijie LI Meilu ZHANG Aifang
Department of Radiology, the Affiliated Cancer Hospital of Guangzhou Medical College, Guangdong Province, Guangzhou 510095, China
[Abstract] Objective To investigate the therapeutic effect of the patient-centered care of modern nursing mode in TACE of hepatic carcinoma. Methods 87 cases of hepatic carcinoma were divided into two groups: 45 cases of group A and 42 cases of group B, patients in group A were treated by modern nursing mode in perioperation of TACE and patients in group B were given by traditional nursing mode, the therapeutic effect of two nursing modes were evaluated. Results The emotional state, the cooperation and the satisfaction of family members of group A were better than group B (P < 0.05), the incidence of postoperative complications of group A was less than group B (P < 0.05). Conclusion The therapeutic effect of the modern nursing mode of group A is superior than the traditional nursing mode of group B in perioperation in TACE of hepatic carcinoma.
[Key words] Hepatic carcinoma; Interventional treatment; Psychological care; Modern nursing mode
TACE是中晚期肝癌患者常用的治疗方法。采用Seldinger技术经股动脉将导管选择性插入至肝动脉后造影，最终置管于肿瘤供血动脉内行灌注化疗和碘油栓塞术，药物在动脉内浓度高，不良反应小，疗效好。化疗药物常用：FUDR 500～1 000 mg，奥沙利铂150～200 mg，表柔比星40～60 mg。栓塞剂常用：超碘油、明胶海绵颗粒等。由于很多肝癌患者存在着恐惧、焦虑、绝望等悲观情绪，护士在围术期应用现代护理模式对患者进行解释、安慰和心理疏导，使患者对TACE疗法有所认识，帮助患者缓解恐惧和焦虑情绪，提高心理承受力，积极配合治疗，从而保证TACE顺利实施并减轻术后并发症的发生[1-2] ......
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