基于循证医学的叙事护理模式对原发性肝癌患者经导管动脉化疗栓塞术后早期离床活动和依从性的影响

肝癌电子杂志 ›› 2023, Vol. 10 ›› Issue (3): 89-92.

基于循证医学的叙事护理模式对原发性肝癌患者经导管动脉化疗栓塞术后早期离床活动和依从性的影响

潘文冰¹, 陆瑶^1,*, 李岩², 史卓林¹, 刘玉娣¹

1.南京鼓楼医院肝胆外科,江苏南京 210000;
2.南京鼓楼医院普外科,江苏南京 210000

收稿日期:2022-09-01 出版日期:2023-09-30 发布日期:2023-10-25
通讯作者: ^*陆瑶,E-mail:xiangyu917@163.com
基金资助:
南京市医学科技发展项目（ZSB959-1）

Effect of narrative nursing model based on evidence-based medicine on early ambulation and compliance of patient

Pan Wenbing¹, Lu Yao^1,*, Li Yan², Shi Zhuolin¹, Liu Yudi¹

Nanjing Gulou Hospital, Nanjing 210000, Jiangsu,China

Received:2022-09-01 Online:2023-09-30 Published:2023-10-25
Contact: ^*Lu Yao,E-mail:xiangyu917@163.com

摘要/Abstract

摘要： 目的：初步探讨原发性肝癌患者经导管动脉化疗栓塞（TACE）后予以基于循证医学的叙事护理模式对患者早期离床活动和依从性的影响。
方法：将南京鼓楼医院2019 年12 月至2022年2 月收治的70例拟行TACE的原发性肝癌患者,随机分成采用常规围手术期护理的对照组和采用基于循证医学的叙事护理模式的观察组,各35例。比较两组早期离床活动情况和早期恢复情况,接受护理前后依从性、生活质量评分变化以及术后并发症发生情况。
结果：观察组首次离床活动时间短于对照组,活动持续时间长于对照组（P<0.05）。观察组肛门排气、普食恢复及住院时间依次均短于对照组（P<0.05）。护理后,观察组依从性及QLICP-LI评分均高于对照组（P<0.05）。与对照组相比,观察组术后并发症发生率更低（P<0.05）。
结论：原发性肝癌患者TACE术后予以基于循证医学的叙事护理模式可以缩短患者早期离床活动时间、促进术后恢复、降低术后并发症发生、提高患者依从性、改善患者生活质量。

关键词: 循证医学, 叙事护理模式, 原发性肝癌, 经导管动脉化疗栓塞, 早期离床活动

Abstract: Objective:To explore the effect of narrative nursing model based on evidence-based medicine on early ambulation and compliance of patients with primary liver cancer after transcatheter arterial chemoembolization (TACE).
Methods:From December 2019 to February 2022, 70 patients with primary liver cancer undergoing TACE in our hospital were randomly divided into the control group (n=35) and the observation group (n=35) with conventional perioperative nursing and narrative nursing model based on evidence-based medicine. The early ambulation and early recovery, compliance before and after receiving nursing, quality of life score changes and postoperative complications were compared between the two groups.
Results:The observation group had shorter first time out of bed activity and longer activity duration than the control group (P<0.05). The observation group had shorter anal exhaust, general food recovery, and hospitalization time in sequence compared to the control group (P<0.05). After nursing, the compliance and QLICP-LI scores of the observation group were higher than those of the control group (P<0.05). Compared with the control group, the observation group had a lower incidence of postoperative complications (P<0.05).
Conclusion:The narrative nursing model based on evidence-based medicine for patients with primary liver cancer after TACE can shorten the time of early ambulation, promote postoperative recovery, reduce the occurrence of postoperative complications, improve patient compliance, and improve the quality of life.

Key words: Evidence-based medicine, Narrative nursing model, Primary liver cancer, Transcatheter arterial chemoembolization, Early ambulation

潘文冰, 陆瑶, 李岩, 史卓林, 刘玉娣. 基于循证医学的叙事护理模式对原发性肝癌患者经导管动脉化疗栓塞术后早期离床活动和依从性的影响[J]. 肝癌电子杂志, 2023, 10(3): 89-92.

Pan Wenbing, Lu Yao, Li Yan, Shi Zhuolin, Liu Yudi. Effect of narrative nursing model based on evidence-based medicine on early ambulation and compliance of patient[J]. Electronic Journal of Liver Tumor, 2023, 10(3): 89-92.

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