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1、肝癌介入治疗患者实施临床路径管理的护理效果［摘要］目的探讨肝癌介入治疗患者实施临床路径管理的临床护理效果。方法选取济南市第四人民医院2007年5月〜2010年4月实施临床路径管理前进行肝癌介入治疗的181例患者为对照组，2012年5月〜2014年4月实施临床路径管理后进行肝癌介入治疗的194例患者为观察组，比较两组患者在生存质量、住院时间、治疗费用、不良反应发生率以及护理满意度等方面的差异。结果两组患者在身体功能、心理状况、社会功能三个维度比较，差异有高度统计学意义(卩0.05)o观察组不良反应
2、失眠(12.9%).恶心呕吐(12.9%).肝区疼痛(10.3%)、尿潴留(5.2%)、穿刺点出血(0.0%)发生率均低于对照组(50.3%、44.8%.3&7%、17.7%.11.6%),差异有统计学意义(P0.05)o两组患者满意度比较，差异有统计学意义(P<0.05)o结论临床路径管理有助于提高肝癌介入治疗患者生存质量及护理满意度，减少不良反应发生率，并缩短患者住院时间及减少住院费用，具有一定临床应用价值。［关键词］临床路径疗程；肝癌；介入治疗；护理［中图分类号］R735.7［文献标识码］
3、A［文章编号］1673-7210(2015)10(a)-0160-04Nursingeffect,ofclinicalpathwaymanagementforhepatocellularcarcinomapatientswithinterventionaltherapyLIULeilMAOGang2HANLi31.DepartmentofGastroenterology,theFourth卩eople'sHospitalofJinanCity,ShandongProvince,Ji'nan250
4、031,China；2.DepartmentofIntensiveCareUnit,theFourthPeople"sHospitalofJi?nanCity,ShandongProvince,Ji'nan250031,China；3.QualityManagementOffice,theFourthPeople'sHospitalofJi，nanCity,ShandongProvince,Ji，nan250031,China[Abstract]ObjectiveToevaluatethecli
5、nicalnursingeffectofclinicalpathwaymanagementinpatientswithinterventionaltherapy.MethodsTntheFourth卩eople'sHospitalofJi'nanCity,fromMay2007toApril2010,beforeimplementingtheclinicalpathmanagement,181hepatocellularcarcinomapatientswithinterventionalthe
6、rapywereselectedascontrolgroup；fromMay2012toApril2014,afterimplementingtheclinicalpalhwaymanagement,194hepatocellularcarcinomapatientswithinterventionaltherapywereselectedasobservationgroup.Thedifferencesofsurvivetreatment,hospitalstay,treatmentcost,
7、incidenceofadversereactionsandnursingsatisfactionofpatientsbetweentwogroupswerecompared.ResultsThethreedimensionsofphysicalfunction,mentalstatus,socialfunctionintwogroupswerecompared,thedifferenceswerestatisticallysignificant(P0.05)•Theincidenceofadv
8、ersereactions,insomnia(12.9%),nauseaandvomiting(12.9%),liverpain(10.3%),urinaryretention(5.2%)ofobservationgroupwere1owerthanthoseofcontrolgroup(50.3%,44.8%,38.7%,17.7%,11.6%),thedifferenceswerestatisticallysignificant(P0.05)・Thesatisfactionofpatient
