改良床上洗头法在肝癌TACE治疗卧床患者中应用观察.docVIP

改良床上洗头法在肝癌TACE治疗卧床患者中应用观察 　　[摘要]目的 探讨“改良床上洗头法”在肝癌TACE治疗卧床患者中的应用效果。方法 选择2016年1～12月在本院进行TACE治疗的卧床肝癌患者80例，随机分为观察组与对照组，各40例。对照组患者采用传统“简易床上洗头盆洗头法”洗头，观察组采用“改良床上洗头盆洗头法”洗头，比较两组洗头效果及患者满意度。结果 观察组洗头时间为（15.12±2.41）min，床单浸湿范围为（6.51±1.23）cm×cm，明显优于对照组的（20.43±1.32）min和（30.15±3.56）cm×cm；观察组患者护理总满意率为95.0%，明显高于对照组的82.5%，差异有统计学意义（P0.05）。结论 “改良床上洗头盆洗头法”不仅节约了护理人?T的时间，更重要的是提高了患者的满意度，值得临床应用推广。 　　[关键词]传统洗头法；改良洗头法；肝癌；护理体会 　　[中图分类号] R735.7 [文献标识码] A [文章编号] 1674-4721（2017）04（a）-0159-03 　　Application and observation of modified washing head in bed in liver cancer patients lying in bed treated with TACE 　　ZHOU Bi-yun CHEN Yin-qin PENG Bi-wen CHEN Qiao-ya TANG Cai-ming 　　Interventional Ward，Affiliated Hospital of Guangdong Medical University，Zhanjiang 524001，China 　　[Abstract]Objective To explore the application effect of modified washing head in bed in liver cancer patients lying in bed treated with transhepatic arterial chemotherapy and embolization （TACE）.Methods A total of 80 liver cancer patients lying in bed treated with TACE from January to December 2016 in our hospital were selected and evenly divided into observation group and control group in random，40 cases in each group.In the control group，traditional simplified washing head in bed was used，while in the observation group，the modified one was applied.The effect of washing head and patient′s satisfaction were compared.Results In the observation group，washing time was （15.12±2.41） min and wetting area of bed sheet was （6.51±1.23）cm×cm，greatly better than those in the control group of （20.43±1.32） min and （30.15±3.56）cm×cm respectively.The total nursing satisfaction by patients in the observation group was 95.0%，much higher than that in the control group accounting for 82.5% with a statistical difference （P0.05）.Conclusion Modified washing head in bed not only saves nursing staff′s time，also improves patient′s satisfaction，which is worthy of application and promotion in clinic. 　　[Key words]Traditional washing head；Modified was