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