肝癌經導管動脈化學栓塞術之護理

Nursing Care for Liver Cancer Undergoing Transcatheter Arterial Chemoembolization

根據統計在台灣肝癌佔男生死亡之原因第一位、女生第二位，許多的臨床研究發現肝癌與B型肝炎病毒、C型肝炎病毒、酒精、黃麴毒素及寄生蟲有關，對肝癌病患而言，手術切除是能達到治癒的最好方法。當病患不能以手術切除腫瘤時，經導管動脈化學栓塞術(TACE)是不錯的治療選擇，病患可能因治療而引起生理、心理的健康問題，如焦慮、噁心、疼痛、體溫過高及潛在危險性損傷等健康問題，此時護理人員必須運用護理過程評估病患的問題，以提供病患有關治療的程序、副作用等相關訊息，以及提供病患治療後生理上的舒適，讓病患得到最完整的照顧進而達到最好的生活品質。

In Taiwan, liver cancer is the first leading cause of death for men and the second for women. Many clinical studies have shown that liver cancer is associated with the hepatitis B virus, hepatitis C virus, alcohol drinking, aflatoxin, and parasitic infections. Surgical resection is the priority treatment for liver cancer. Alternatively, transcatheter arterial chemoembolization (TACE) is the second potion to treat liver cancer if the surgery is not possible. Patients treated with TACE may present both physical and psychological problems, such as anxiety, nausea, pain, hyperthermia, and high risk for injury. Therefore, it is important for the nurses to provide information about the procedures and possible adverse effects of the treatment to the patients and to ensure the patients receive comprehensive and quality cares.