首页|快速康复理论联合医疗失效模式与效应分析干预在肝癌经导管动脉栓塞化疗患者中的应用效果

快速康复理论联合医疗失效模式与效应分析干预在肝癌经导管动脉栓塞化疗患者中的应用效果

Application effect of rapid rehabilitation theory combined with healthcare failure mode and effect analysis intervention in patients with liver cancer undergoing transcatheter arterial chemoembolization

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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(TAC E)患者中的应用效果.方法 根据干预方式的不同将8 6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 fail-ure mode and effect analysis(HFMEA)intervention in patients with liver cancer undergoing transcatheter arterial chemo-embolization(TACE).Method According to different intervention methods,86 patients with liver cancer who under-went TACE were divided into control group(n=44)and observation group(n=42).The control group received routine in-tervention,and the observation group received rapid rehabilitation theory combined with HFMEA intervention on the ba-sis of the control group.The perioperative indexes,quality of life[Karnofsky performance status(KPS)score],incidence of complications and satisfaction were compared between the two groups.Result The first feeding time,first getting out of bed time and hospitalization time in observation group were shorter than those in control group,the total incidence of complications was lower than that in control group,the total satisfaction rate was higher than that in control group,and the differences were statistically significant(P<0.05).After intervention,the KPS scores of the two groups were signifi-cantly higher than those before intervention,the KPS score of the observation group was significantly higher than that of the control group,and the differences were statistically significant(P<0.01).Conclusion The application of rapid reha-bilitation theory combined with HFMEA intervention in patients with liver cancer undergoing TACE can reduce the inci-dence of complications,promote postoperative recovery of patients,and improve the quality of life and satisfaction.

liver cancertranscatheter arterial chemoembolizationrapid rehabilitation theoryhealthcare failure mode and effect analysisapplication effect

曹冬凌、郭宝宁、李冬梅、杨莉莎

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商丘市立医院介入手术室,河南 商丘 476000

商丘市立医院肿瘤科,河南 商丘 476000

商丘市立医院急诊科,河南 商丘 476000

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

河南省医学科技攻关计划联合共建项目

LHGJ20210209

2024

癌症进展
中国医学科学院,北京协和医学院

癌症进展

影响因子:1.004
ISSN:1672-1535
年,卷(期):2024.22(14)