Perioperative nursing intervention scheme for patients undergoing hepatic arterial infusion chemotherapy via brachial artery access:its construction and clinical application
10.3969/j.issn.1008-794X.2025.10.017
- VernacularTitle:经肱动脉行肝动脉灌注化疗患者围术期护理干预方案的构建及应用研究
- Author:
Min WANG
1
;
Jian XU
;
Rui AN
;
Shen ZHAO
;
Ping GAO
;
Jing YAN
Author Information
1. 710032 陕西西安 空军军医大学第一附属医院介入手术中心
- Keywords:
hepatic arterial infusion chemotherapy;
malignant liver tumor;
brachial artery;
nursing intervention;
perioperative nursing
- From:
Journal of Interventional Radiology
2025;34(10):1129-1133
- CountryChina
- Language:Chinese
-
Abstract:
Objective To construct a perioperative nursing intervention scheme for patients undergoing hepatic arterial infusion chemotherapy(HAIC)via brachial artery access and to discuss its clinical application.Methods By using systematic literature search method,a perioperative nursing intervention scheme was constructed.A total of 90 patients with confirmed hepatic malignancy,who were admitted to hospital to receive HAIC from February 2022 to August 2023,were collected to validate this perioperative nursing intervention scheme,and its clinical application effect was evaluated.Results Through two rounds of expert letter inquiry,a nursing intervention scheme containing five primary indicators and 16 secondary indicators was finally formulated.The clinical validation was conducted.After the implementation of this nursing intervention scheme,the incidences of phlebitis and limb swelling in the intervention group decreased from previous 17.78％ to post-intervention 2.22％ and from previous 33.33％ to post-intervention 8.89％,respectively.The patient's anxiety level and depressed mood were significantly improved;the HADS scores decreased by 35.2％and 36.6％,respectively;the EORTC QLQ-C30 scores in the dimensions of somatic,role,emotional,and social functioning were obviously improved and the quality of life was strikingly improved(all P＜0.05).Besides,in the patients of the intervention group the clinical symptoms(e.g.pain,nausea,etc.)were significant alleviated,and the severity of the symptoms as well as the degree of distress to the patients were significantly reduced,indicating that the nursing intervention plays an important role in relieving the symptoms,anxiety and depression of the patients.Conclusion The perioperative nursing intervention scheme constructed in this study for patients undergoing AIC via brachial artery access is scientific and practical,it provides an important reference basis for the therapeutic nursing care of patients with hepatic malignancy.
