摘要
目的:分析预见性护理预防肝动脉化疗栓塞术(TACE)后深静脉血栓形成(DVT)的效果。方法:选取2022年1月—2023年5月复旦大学附属中山医院青浦分院收治的拟行TACE治疗的原发性肝癌患者82例作为研究对象,采用随机数字表法分为对照组与试验组,各41例。对照组开展常规围术期护理,试验组在对照组基础上开展预见性护理干预。比较两组心理状况、疼痛程度及DVT发生情况。结果:术后1 d,两组汉密尔顿焦虑量表(HAMA)评分比较,差异无统计学意义(P>0.05);术后3 d,两组HAMA评分低于术后1 d,且试验组低于对照组,差异有统计学意义(P<0.001)。术后1 d,两组视觉模拟评分法(VAS)评分比较,差异无统计学意义(P>0.05);术后2 d、3 d,两组VAS评分低于术后1 d,且试验组低于对照组,差异有统计学意义(P<0.05)。试验组DVT发生率低于对照组,差异有统计学意义(P=0.040)。结论:预见性护理应用于TACE围术期护理中可缓解患者焦虑情绪,减轻疼痛,降低DVT发生率。
Objective:To analyze the preventive effect of predictive nursing on deep vein thrombosis(DVT)after hepatic arterial chemoembolization(TACE).Methods:A total of 82 patients with primary liver cancer who were expected to receive TACE treatment were selected as the study objects in Qingpu Branch of Zhongshan Hospital Affiliated to Fudan University from January 2022 to May 2023,and were divided into control group and experimental group by random number table method,with 41 cases in each group.The control group carried out routine perioperative nursing,and the experimental group carried out predictive nursing intervention based on the control group.The psychological status,pain degree and DVT occurrence were compared between the two groups.Results:1 day after operation,there was no significant difference in Hamilton anxiety scale(HAMA)score betueen the two groups was(P>0.05);on day 3 after surgery,HAMA score of the two groups was lower than that on day 1 after surgery,and the experimental group was lower than the control group,the difference was statistically significant(P<0.001).On the first day after operation,there was no significant difference in visual analogue scale(VAS)score between the two groups was statistically significant(P>0.05);on the 2nd and 3rd day after surgery,the VAS score of the two groups was lower than that of the 1st day after surgery,and the experimental group was lower than the control group,the difference was statistically significant(P<0.05).The incidence of DVT in experimental group was lower than that in control group,and the difference was statistically significant(P=0.040).Conclusion:The application of predictive nursing in perioperative TACE nursing can relieve anxiety,relieve pain and reduce the incidence of DVT.
作者
赵菲
Zhao Fei(Qingpu Branch of Zhongshan Hospital Affiliated To Fudan University,Shanghai 201700,China)
出处
《中外医药研究》
2024年第6期144-146,共3页
JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH
关键词
原发性肝癌
肝动脉化疗栓塞术
深静脉血栓形成
预见性护理
Primary hepatic cancer
Hepatic arterial chemoembolization
Deep vein thrombosis
Predictive care
