CAJ | 학술논문

目的探讨自护理论在肝动脉化疗栓塞术患者护理中的应用效果.方法将163例行肝动脉化疗栓塞术治疗的肝癌患者随机分为自护组83例和对照组80例.对照组采用常规的整体护理方法进行护理,自护组在实施整体护理的基础上采用自护理论的3个护理系统,根据患者不同阶段的自理需求,提供完全补尝、部分补尝、支持教育系统的护理,鼓励患者主动参与自我护理.比较两组患者术后并发症发生率及对护理工作的满意度.结果自护组较对照组患者术后并发症的发生率明显降低,对护理工作的满意度显著提高,与对照组比较,差异有统计学意义(P＜0.01或P＜0.05).结论应用自护理论护理肝动脉化疗栓塞术患者,可减少术后并发症的发生,提高患者的生活自理能力和生活质量,且提高护理质量.
목적 탐토자호이론재간동맥화료전새술환자호리중적응용효과.방법 장163례행간동맥화료전새술치료적간암환자수궤분위자호조83례화대조조80례.대조조채용상규적정체호리방법진행호리,자호조재실시정체호리적기출상채용자호이론적3개호리계통,근거환자불동계단적자리수구,제공완전보상、부분보상、지지교육계통적호리,고려환자주동삼여자아호리.비교량조환자술후병발증발생솔급대호리공작적만의도.결과 자호조교대조조환자술후병발증적발생솔명현강저,대호리공작적만의도현저제고,여대조조비교,차이유통계학의의(P＜0.01혹P＜0.05).결론 응용자호이론호리간동맥화료전새술환자,가감소술후병발증적발생,제고환자적생활자리능력화생활질량,차제고호리질량.
Objective To discuss the application effect of the self-care in the nursing of patients with transcatheter arterial chemoembolization(TACE).Methods A total of 163 patients with TACE were divided into two groups randomly:83 cases of self-care group,80 cases of control group.The patients in control group were taken the routine holistic nursing.While on the basis of the holistic nursing the patients in self-care groups were taken 3 self-care systems including the whole-compensation,the part-compensation,and support service system according to their condition,and the patients were encouraged to join the nursing.The rate of complications and the degree of the satisfaction were compared between two groups.Results After the operation,the rate of complication was much lower in the self-cadre group than that in control group,and the degree of satisfaction to the nursing was obviously increased in contrast with the control group,the difference was very significant(P ＜0.01 or P ＜0.05).Conclusions The application of self-care on the nursing of patients with TACE can decrease the occurrence rate of complications,improve the ability of daily life and the quality of life and improve the quality of nursing.