基础医学与临床 ›› 2021, Vol. 41 ›› Issue (2): 250-253.

• 临床研究 • 上一篇    下一篇

预见性护理有利于稳定恶性梗阻性黄疸患者经PTCD术后情绪及降低术后并发症

曹伟, 沈越, 马传荣*   

  1. 徐州市中心医院 肝胆胰中心, 江苏 徐州 221009
  • 收稿日期:2020-07-22 修回日期:2020-12-14 出版日期:2021-02-05 发布日期:2021-01-19
  • 通讯作者: *2506215373@qq.com
  • 基金资助:
    徐州市科技局重点研发计划项目(KC19192)

Predictive care helps to stabilize the mood and reduce complications in patients with malignant obstructive jaundice after PTCD

CAO Wei, SHEN Yue, MA Chuan-rong*   

  1. Center of Hepatobiliary Pancreatic Disease, Xuzhou Central Hospital, Xuzhou 221009, China
  • Received:2020-07-22 Revised:2020-12-14 Online:2021-02-05 Published:2021-01-19
  • Contact: *2506215373@qq.com

摘要: 目的 观察预见性护理对预防恶性梗阻性黄疸患者经皮肝穿刺胆道引流术(PTCD)术后并发症发生的效果。方法 将2018年1月至2019年10月徐州市中心医院肝胆胰中心收治的80例行PTCD治疗的恶性梗阻性黄疸患者纳入研究,随机分为2组,各40例,对照组予以常规护理,实验组在其基础上实施预见性护理对策,比较2组干预前后焦虑(SAS)评分、抑郁(SDS)评分,并观察2组监护时间、住院时间、护理满意度及术后并发症情况。结果 干预后,实验组SAS评分、SDS评分显著低于对照组(P<0.05);实验组患者监护时间、住院时间均明显短于对照组(P<0.05);实验组患者护理总满意度为100%,对照组为97.5%,2组比较无明显差异;实验组术后并发症总发生率为10%,明显低于对照组(30%)(P<0.05)。结论 对行PTCD治疗的恶性梗阻性黄疸患者采取预见性护理方式,可有效改善其焦虑、抑郁情绪,降低术后并发症风险,缩短康复进程。

关键词: 预见性护理, 恶性梗阻性黄疸, 预防, 经皮肝穿刺胆道引流术, 并发症

Abstract: Objective To observe the effect of predictive care in preventing complications after percutaneous transhepatic cholangial drainage (PTCD) in patients with malignant obstructive jaundice. Methods Eighty patients with malignant obstructive jaundice who underwent PTCD treatment were admitted to the Hepatobiliary and Pancreatic Center of Xuzhou Central Hospital from January 2018 to October 2019. They were randomly divided into 2 groups with 40 cases in each group: regular nursing group and the experimental group, the latter was implemented predictive nursing strategies on the basis of the former, then compared the anxiety(SAS) scores and depression (SDS) scores of the two groups before and after intervention, and observed the monitoring time, hospitalization time, nursing satisfaction and postoperative complications of the two groups. Results After the intervention, the SAS score and SDS score of the experimental group were significantly lower than those of the control group(P<0.05); the monitoring time and hospitalization of the experimental group were significantly shorter than those of the control group (P<0.05); the experimental group was generally satisfied with the nursing care. The rate was 100% and the control group was 97.5%. The total incidence of postoperative complications in the experimental group was 10%, which was significantly lower than the control group (30%) (P<0.05). Conclusions Predictive care for patients with malignant obstructive jaundice who underwent PTCD therapy can effectively alleviate their anxiety and depression, reduce the risk of postoperative complications, and speed up recovery.

Key words: predictive care, malignant obstructive jaundice, prevention, PTCD, complications

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