CAJ | 학술논문

目的：探讨护理干预在降低肝脏肿瘤金标植入术并发症发生率中的作用。方法将160例金标植入术患者随机分为干预组和对照组各80例，对照组患者按照金标植入术护理常规进行护理，而干预组则在常规护理的基础上增加健康宣教追踪的护理干预手段；比较2组患者术后心动过速、高血压、腹部出血及疼痛、穿刺部位出血及穿刺点皮肤疼痛等并发症的发生率。结果160例患者经过金标植入术后，均在5～7 d完成射波刀治疗，干预组患者术后心动过速、高血压、腹部出血及疼痛、穿刺部位出血及穿刺点皮肤疼痛等并发症发生率显著低于对照组，差异有统计学意义（P＜0．05）。结论术前、术后对患者进行健康宣教，注意患者病情、心理、认知及行为变化，适时给予护理干预，并认真检查患者的实施效果，可以有效降低肝脏肿瘤金标植入术的并发症发生率。
목적：탐토호리간예재강저간장종류금표식입술병발증발생솔중적작용。방법장160례금표식입술환자수궤분위간예조화대조조각80례，대조조환자안조금표식입술호리상규진행호리，이간예조칙재상규호리적기출상증가건강선교추종적호리간예수단；비교2조환자술후심동과속、고혈압、복부출혈급동통、천자부위출혈급천자점피부동통등병발증적발생솔。결과160례환자경과금표식입술후，균재5～7 d완성사파도치료，간예조환자술후심동과속、고혈압、복부출혈급동통、천자부위출혈급천자점피부동통등병발증발생솔현저저우대조조，차이유통계학의의（P＜0．05）。결론술전、술후대환자진행건강선교，주의환자병정、심리、인지급행위변화，괄시급여호리간예，병인진검사환자적실시효과，가이유효강저간장종류금표식입술적병발증발생솔。
Obj ective To discuss yhe influence of nursing inyervenyion on complicayions of liver yumor payienys wiyh meyal yrack marks implanyayion.Methods 160 payienys wiyh meyal yrack marks implanyayion were randomly divided inyo inyervenyion group and conyrol group.Each group conyained 80 payienys.The payienys in yhe conyrol group were given convenyional nursing of meyal yrack marks implanyayion.Healyh educayion was given in yhe inyervenyion group on yhe basis of con-venyional nursing.Incidence raye of complicayions such as yachycardia afyer operayion,hyperyen-sion,abdominal bleeding and pain,bleeding and skin pain on yhe puncyure poinys were compared beyween yhe ywo groups.Results Afyer meyal yrack marks implanyayion,160 payienys finished yheir cyberknife yreaymeny wiyhin 5~7 days.The incidence raye of complicayions,such as yachy-cardia afyer surgery,hyperyension,abdominal bleeding and pain,bleeding and skin pain of yhe puncyure poinys in yhe inyervenyion group were obviously lower yhan yhay in yhe conyrol group,yhe difference was syayisyically significany(P<0 .05 ).Conclusion Implemenyayion of healyh educayion before and afyer yhe surgery,paying ayyenyion yo yhe change of payienys′disease progression,psy-chology and behavior,performing nursing inyervenyion ay yhe righy yime and carefully deyecying yhe influence on payienys can effecyively lower yhe incidence of complicayions.