肝细胞癌患者腹水的处理：来自一家四级肝病中心的经验

Q3 Nursing

Gastrointestinal Nursing Pub Date : 2024-02-01 DOI:10.12968/gasn.2024.22.sup1.s17

Joanne McDonagh, Sara Bardell, Neil Rajoriya, Isobel Hayes, Tahir Shah

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引用次数: 0

摘要

肝细胞癌是一种原发性肝癌，通常在肝硬化的背景下发生。肝损伤和肝硬化往往在患者出现失代偿症状时才被诊断出来。对许多患者来说，腹水的出现可能是肝病的首发症状。一旦出现腹水，患者的症状往往会使人衰弱，影响生活的方方面面。有许多治疗方法可以控制腹水、避免患者紧急入院并改善生活质量。本文概述了在肝病专科病房中由护士主导的腹水管理路径，该路径以患者为中心，采用多学科团队方法，并制定了高级护理计划。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Managing ascites in patients with hepatocellular carcinoma: experiences from a quaternary liver centre

Hepatocellular carcinoma is a primary liver cancer that usually develops in the background of liver cirrhosis. Liver damage and cirrhosis are often undiagnosed until patients present with symptoms of decompensation. For many patients, the development of ascites can be the first sign of their liver disease. Once patients develop ascites the symptom burden is often debilitating, affecting every aspect of their life. There are many treatment options to manage ascites, avoid emergency admissions for patients and improve quality of life. This article outlines a nurse-led ascites management pathway that is patient-focused, adopting a multidisciplinary team approach with advanced care planning, in a specialist hepatology unit.

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来源期刊

Gastrointestinal Nursing Nursing-Advanced and Specialized Nursing

CiteScore

0.70

自引率

0.00%

发文量

期刊介绍： Gastrointestinal Nursing is the leading journal for nurses working in gastroenterology, hepatology and stoma care. The journal publishes original research, clinical reviews and case studies that have been peer-reviewed by leading experts in the field, as well as news and expert analysis on best practice, professional development and healthcare policy. Each of the ten issues a year touches on a range of topics, from inflammatory bowel disease (IBD), viral hepatitis and colorectal cancer to upper GI endoscopy, parenteral nutrition and irritable bowel syndrome (IBS). Gastrointestinal Nursing aims to help specialist nurses improve the quality of life of patients by delivering care that is evidence-based, cost-effective and patient-centred.