肝癌经导管肝动脉化疗栓塞术后早期离床活动的循证护理综述
A Review of Evidence-Based Nursing Practice for Early Ambulation after Liver Cancer TACE
DOI: 10.12677/ACM.2022.12111554, PDF,   
作者: 侯东洋:盐池县人民医院,宁夏 盐池
关键词: 肝癌TACE早期离床循证护理综述Liver Cancer TACE Early Ambulation Evidence-Based Nursing Review
摘要: 术后早期离床活动作为快速康复外科的重要内容,可促进患者恢复,降低术后并发症的发生,近年来已被运用于肝癌经导管肝动脉化疗栓塞术(Transcatheter arterial chemoembolization, TACE)术后的患者。虽然临床已开展肝癌TACE术后早期离床活动的循证护理实践,但在实践中的效果存在差异,参考现有的早期离床活动方案。从早期离床活动概念、TACE术后早期离床活动循证方案的构建、评价指标体系三方面对肝癌TACE术后早期离床活动进行分析和总结,旨在为早期离床活动方案构建和临床护理实践提供借鉴和参考。
Abstract: As an important part of enhanced recovery after surgery, early postoperative ambulation can promote the recovery of patients and reduce the occurrence of postoperative complications. In recent years, it has been applied to the recovery process of patients with liver cancer after TACE. Although evidence-based nursing practice for early ambulation activities after TACE for liver cancer has been carried out clinically, there are differences in the effect in specific practice. This paper analyzes and summarizes early ambulation activities after TACE for liver cancer from three aspects: the concept of early ambulation activities, the construction of an evidence-based scheme for early ambulation activities after TACE, and an evaluation index system, providing reference for the construction of early ambulation activities and clinical nursing practice.
文章引用:侯东洋. 肝癌经导管肝动脉化疗栓塞术后早期离床活动的循证护理综述[J]. 临床医学进展, 2022, 12(11): 10786-10791. https://doi.org/10.12677/ACM.2022.12111554

参考文献

[1] Sung, H., Ferlay, J., Siegel, R.L., et al. (2021) Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA: A Cancer Journal for Clinicians, 71, 209-249. [Google Scholar] [CrossRef] [PubMed]
[2] 中华人民共和国国家卫生健康委员会医政医管局. 原发性肝癌诊疗指南(2022年版) [J]. 中华肝脏病杂志, 2022, 30(4): 367-388.
[3] Saviano, A., Iezzi, R., Giuliante, F., et al. (2017) Liver Resection versus Radiofrequency Ablation plus Transcatheter Arterial Chemoembolization in Cirrhotic Patients with Solitary Large Hepatocellular Carcinoma. Journal of Vascular and Interventional Radiology, 28, 1512-1519. [Google Scholar] [CrossRef] [PubMed]
[4] Lee, H.J., Kim, J.W., Hur, Y.H., et al. (2017) Combined Therapy of Transcatheter Arterial Chemoembolization and Radiofrequency Ablation versus Surgical Resection for Single 2-3 cm Hepatocellular Carcinoma: A Propensity-Score Matching Analysis. Journal of Vascular and Interventional Radiology, 28, 1240-1247. [Google Scholar] [CrossRef] [PubMed]
[5] 肖书萍, 肖芳, 陈冬萍, 等. 肝细胞癌经动脉化疗栓塞治疗围术期护理策略专家共识[J]. 临床放射学杂志, 2022, 41(2): 212-216.
[6] 陈静, 陈琪, 雷素娟, 等. 经导管肝动脉化疗栓塞患者术后早期活动准备的证据应用审查及障碍分析[J]. 现代临床护理, 2022, 21(3): 49-54.
[7] 陈宇罡. 加速康复外科在肝脏切除术围手术期应用的临床研究[D]: [硕士学位论文]. 兰州: 兰州大学, 2017.
[8] 陈颖异, 蔡璐瑶, 陈静, 等. TACE术后早期离床时间的Meta分析[J]. 护理实践与研究, 2022, 19(13): 1982-1989.
[9] Guerra, M.L., Singh, P.J. and Taylor, N.F. (2015) Early Mobilization of Patients Who Have Had a Hip or Knee Joint Replacement Reduces Length of Stay in Hospital: A Systematic Review. Clinical Rehabilitation, 29, 844-854. [Google Scholar] [CrossRef] [PubMed]
[10] Ries, E. (1899) Some Radical Changes in the After-Treatment of Celiotomy Cases. JAMA, 33, 454-456. [Google Scholar] [CrossRef
[11] Kim, C. (1946) Early Postoperative Ambulation. Annals of Surgery, 2, Article No. 180. [Google Scholar] [CrossRef] [PubMed]
[12] Kehlet, H. and Slim, K. (2012) The Future of Fast-Track Surgery. British Journal of Surgery, 99, 1025-1026. [Google Scholar] [CrossRef] [PubMed]
[13] Melloul, E., Hübner, M., Scott, M., et al. (2016) Guidelines for Perioperative Care for Liver Surgery: Enhanced Recovery after Surgery (ERAS) Society Recommendations. World Journal of Surgery, 40, 2425-2440. [Google Scholar] [CrossRef] [PubMed]
[14] 中国医师协会介入医师分会临床诊疗指南专委会. 中国肝细胞癌经动脉化疗栓塞(TACE)治疗临床实践指南(2021年版) [J]. 中华医学杂志, 2021, 101(24): 1848-1862.
[15] European Association for the Study of the Liver (2018) EASL Clinical Practice Guidelines: Man-agement of Hepatocellular Carcinoma. Journal of Hepatology, 69, 182-236.
[16] 周英凤, 胡雁, 顾莺, 等. 基于证据的持续质量改进模式图的构建[J]. 中国循证医学杂志, 2017, 17(5): 603-606.
[17] 曹春菊, 徐秀平, 黄梅英, 等. 循证护理在肝癌TACE术后早期离床活动中的应用效果[J]. 护理实践与研究, 2018, 15(21): 52-54.
[18] 王艳乐. 肝癌合并乙肝肝硬化患者术后早期活动方案的构建和应用研究[D]: [硕士学位论文]. 南宁: 广西医科大学, 2019.
[19] 何宁宁, 周利平, 薛冰, 等. 肝癌术后早期下床活动方案的构建及应用[J]. 护理学杂志, 2020, 35(1): 24-28.
[20] 何伟猛. 肝癌临床疗效和安全性的回顾性观察性研究[D]: [硕士学位论文]. 深圳: 南方医科大学, 2021.
[21] 蒋峰, 梁小琴, 金爽. 手术小贴士APP在TACE患者围手术期健康教育中应用效果观察[J]. 齐齐哈尔医学院学报, 2018, 39(8): 986-987.
[22] 张建男, 蒋国庆, 刘燕金. 医护一体化宣教模式在肝癌患者术后早期离床活动中的应用研究[J]. 实用临床医药杂志, 2018, 22(12): 23-26.
[23] 郭雅博. 肝癌患者术后腹胀症状集束化护理方案的构建及效果评价[D]: [硕士学位论文]. 新乡: 新乡医学院, 2019.
[24] 王红丽, 陈玲, 徐春艳, 等. 基于德尔菲法构建加速康复外科肝癌患者围手术期护理方案[J]. 新疆医科大学学报, 2019, 42(3): 415-419.
[25] 罗韬, 朱子兴, 颜慧静, 等. 加速康复外科理念在原发性肝癌患者围术期的应用[J]. 国际护理学杂志, 2022, 41(7): 1274-1276.
[26] 耿寒. 多学科协作模式护理干预对肝癌手术患者术后康复及生活质量的影响[J]. 实用中西医结合临床, 2020, 20(17): 152-153.
[27] 张建男, 于雯, 王丽丽, 等. 腹部术后改良助行器在原发性肝癌患者术后早期活动中的应用研究[J]. 护士进修杂志, 2018, 33(6): 568-570.
[28] 莫伟, 向华, 阳秀春, 等. 股动脉穿刺介入术后制动时间的循证证据研究[J]. 介入放射学杂志, 2019, 28(1): 85-88.
[29] 张先军, 轧春妹, 耿丽, 等. 动脉压迫止血器应用于肝癌介入术后患者效果的Meta分析[J]. 中华护理杂志, 2016, 51(7): 874-880.
[30] 刘秀芳, 张伟伟, 吴海平, 等. 多学科协作干预模式在TACE治疗原发性肝癌患者中的应用效果[J]. 介入放射学杂志, 2021, 30(10): 1057-1060.