首页|以赋能授权为导向的全方位护理模式在肝癌患者TACE介入治疗中的应用

以赋能授权为导向的全方位护理模式在肝癌患者TACE介入治疗中的应用

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目的:探讨以赋能授权为导向的全方位护理模式在肝癌患者肝动脉化疗栓塞(TACE)介入治疗中的应用价值.方法:选取 2021 年 3 月—2022 年 3 月在江西省肿瘤医院接受TACE介入治疗的100 例肝癌患者进行研究,经随机数字表法分为两组.对照组(n=50)应用围手术期常规护理,观察组(n=50)在对照组基础上应用以赋能授权为导向的全方位护理模式.比较两组疾病不确定感[(Mishel疾病不确定感量表(MUIS)]、术后疼痛程度[视觉模拟评分法(VAS)]、术后恢复情况及并发症发生率.结果:护理后两组MUIS各维度评分均下降,且观察组均低于对照组(P<0.05).观察组术后不同时间VAS评分均低于对照组(P<0.05).观察组进食时间、排气时间、下床活动时间及住院时间均短于对照组(P<0.05).观察组术后并发症发生率低于对照组(P<0.05).结论:在肝癌患者TACE介入术治疗中实施以赋能授权为导向的全方位护理模式,可减轻患者疾病不确定感,降低术后疼痛程度及并发症发生率,促进术后恢复.
Application of Empowerment-oriented All-round Nursing Model in TACE Interventional Therapy for Patients with Liver Cancer
Objective:To explore the application value of empowerment-oriented all-round nursing model in transcatheter arterial chemoembolization(TACE)interventional therapy for patients with liver cancer.Method:A total of 100 patients with liver cancer who received TACE interventional therapy in Jiangxi Cancer Hospital from March 2021 to March 2022 were selected for this study and divided into two groups according to random number table method.The control group(n=50)was treated with erioperative period routine nursing,and the observation group(n=50)applied the empowerment-oriented all-round nursing model based on the control group.Uncertainty in illness[Mishel uncertainty in illness scale(MUIS)],postoperative pain degree[visual analogue scale(VAS)],postoperative recovery and complication rate were compared between the two groups.Result:After nursing,the scores of MUIS in all dimensions decreased in both groups,and those in the observation group were lower than those in the control group(P<0.05).The VAS scores of the observation group were lower than those of the control group at different time after operation(P<0.05).The feeding,exhaust,getting out of bed and hospitalization time in the observation group were shorter than those in the control group(P<0.05).The incidence of postoperative complications in observation group was lower than that in control group(P<0.05).Conclusion:Implementing a empowerment-oriented all-round nursing model in TACE intervention therapy for liver cancer patients can reduce patients'uncertainty in illness,reduce postoperative pain and complications,and promote postoperative recovery.

Liver cancerTranscatheter arterial chemoembolizationEmpowermentAll-round nursing modelUncertainty in illness

张翱、姜琳莉、胡志琴、易珍

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江西省肿瘤医院(南昌医学院第二附属医院)

肝癌 肝动脉化疗栓塞 赋能授权 全方位护理模式 疾病不确定感

2024

中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
年,卷(期):2024.21(8)
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