肝癌病人接受射頻燒灼治療的護理

Nursing Care of Patients with Hepatocellular Carcinoma Following Radiofrequency Ablation

肝癌一直為我國男性癌症死亡原因首位，女性癌症死亡原因第二位，目前對肝癌的治療方法除了外科手術外，射頻燒灼治療(radiofrequency ablation therapy, RF ablation)也被應用到肝癌治療，這是一種利用熱能殺死癌細胞的方法，雖然比起手術切除有較少的合併症，但仍會有嚴重合併症，如內出血、膿腫形成、臟器穿孔等發生，治療過程中也會出現疼痛，同時病人與家屬可能出現擔心及焦慮的情緒。護理人員宜提供良好的疼痛處理、妥善的合併症監測以及減輕焦慮的策略，以維護病人的舒適與安全。

Liver cancer is the first leading cause of death among males and the second leading cause of death of females in our country. Surgery has been the main treatment method. Unfortunately, only 10-20% of patients are candidate for resection. The technology of RFA (radiofrequency ablation) has been used as a new treatment option. RFA therapy uses electric energy to induce high temperatures, produce coagulating necrosis in tumor tissue. Although this therapy has fewer complications than surgery, it can cause some major complications, such as internal bleeding, abscess formation, and hollow organ perforation, etc. Patients also experience anxiety and pain. Nurses should institute and provide appropriate care for patients who undergo RFA, including a plan for pain management, supervision of any complications, and ways to diminish anxiety to improve patients’ comfort and safety.