摘要
目的快速康复理论联合医疗失效模式与效应分析(HFMEA)干预在肝癌经导管动脉栓塞化疗(TACE)患者中的应用效果。方法根据干预方式的不同将86例行TACE治疗的肝癌患者分为对照组(n=44)和观察组(n=42),对照组患者采取常规干预,观察组患者在对照组的基础上采取快速康复理论联合HFMEA干预。比较两组患者的围手术期指标、生活质量[卡氏功能状态(KPS)评分]、并发症发生情况及满意度。结果观察组患者首次进食时间、首次下床时间及住院时间均短于对照组,并发症总发生率低于对照组,总满意度高于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者KPS评分均明显高于本组干预前,观察组患者KPS评分明显高于对照组,差异均有统计学意义(P﹤0.01)。结论快速康复理论联合HFMEA干预应用于肝癌TACE患者中,可以降低并发症发生率,促进患者术后恢复,提高生活质量及满意度。
Objective To explore the application effect of rapid rehabilitation theory combined with healthcare failuremode and effect analysis(HFMEA)intervention in patients with liver cancer undergoing transcatheter arterial chemoembolization(TACE).Method According to different intervention methods,86 patients with liver cancer who underwentTACE were divided into control group(n=44)and observation group(n=42).The control group received routine intervention,and the observation group received rapid rehabilitation theory combined with HFMEA intervention on the basisof the control group.The perioperative indexes,quality of life[Karnofsky performance status(KPS)score],incidenceof complications and satisfaction were compared between the two groups.Result The first feeding time,first getting outof bed time and hospitalization time in observation group were shorter than those in control group,the total incidence ofcomplications was lower than that in control group,the total satisfaction rate was higher than that in control group,andthe differences were statistically significant(P<0.05).After intervention,the KPS scores of the two groups were significantlyhigher than those before intervention,the KPS score of the observation group was significantly higher than that ofthe control group,and the differences were statistically significant(P<0.01).Conclusion The application of rapid rehabilitationtheory combined with HFMEA intervention in patients with liver cancer undergoing TACE can reduce the incidenceof complications,promote postoperative recovery of patients,and improve the quality of life and satisfaction.
作者
曹冬凌
郭宝宁
李冬梅
杨莉莎
CAO Dongling;GUO Baoning;LI Dongmei;YANG Lisha(Interventional Operating Room,Shangqiu Municipal Hospital,Shangqiu 476000,He’nan,China;Department of Oncology,Shangqiu Municipal Hospital,Shangqiu 476000,He’nan,China;Department of Emergency,Shangqiu Municipal Hospital,Shangqiu 476000,He’nan,China)
出处
《癌症进展》
2024年第14期1581-1584,共4页
Oncology Progress
基金
河南省医学科技攻关计划联合共建项目(LHGJ20210209)。
关键词
肝癌
经导管动脉栓塞化疗
快速康复理论
医疗失效模式与效应分析
应用效果
liver cancer
transcatheter arterial chemoembolization
rapid rehabilitation theory
healthcare failuremode and effect analysis
application effect
