Evidence-based practice of perioperative patient-controlled analgesia management in patients with liver cancer receiving TACE treatment
10.3969/j.issn.1008-794X.2025.12.017
- VernacularTitle:肝癌TACE患者围术期自控镇痛管理循证实践
- Author:
Yongqi LIANG
1
;
Yao LIU
;
Jianbo ZHAO
;
Wenxuan YU
;
Fenfen LIN
;
Qinqin ZHU
;
Yunan LI
Author Information
1. 510515 广东广州 南方医科大学南方医院血管与介入科
- Keywords:
liver cancer;
transcatheter arterial chemoembolization;
patient-controlled analgesia;
evidence-based practice;
satisfaction degree
- From:
Journal of Interventional Radiology
2025;34(12):1376-1384
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the application of evidence-based perioperative patient-controlled analgesia(PCA)management in patients with liver cancer receiving transcatheter arterial chemoembolization(TACE)treatment.Methods By using the application model of clinical evidence-based practice,the review indicators were formulated based on the best evidence.The baseline assessment was conducted,the barrier factors were analyzed,the best clinical decision was made,the implementation steps of PCA management,including training,monitoring,education,etc.were refined,and two rounds of clinical review were carried out.The knowledge-belief-practice level and the implementation of review indicators in 50 medical and nursing staff engaged in PCA management,as well as the changes in pain scores,the incidence of adverse reactions due to PCA management,and the patient's satisfaction in 159 patients after the application of evidence were compared with their corresponding values determined before the application of evidence.Results After implementing the evidence-based practice plan and applying the evidence,at multiple time points the pain scores and the incidences of adverse reactions were decreased significantly(P＜0.05),the patient's satisfaction increased remarkably(P＜0.01),the execution rate of medical and nursing staff for the review indicators were strikingly increased(P＜0.01),and the knowledge-belief-practice level concerning PCA management was prominently improved(P＜0.01).Conclusion The implementation of perioperative PCA management in patients with liver cancer receiving TACE treatment can help to reduce the perioperative pain level,improve the patient discomfort,increase the patient's satisfaction degree,and improve the ability of medical staff in performing PCA management and evidence-based practices.
