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恶性胆道梗阻性黄疸介入治疗的护理效果评价
赵晓园,林栓琴
0
(宝鸡市人民医院 中医老年科;宝鸡市人民医院 手术室)
摘要:
【摘要】目的 探讨恶性胆道梗阻性黄疸患者介入治疗的护理方法。方法 选取在我科接受经皮穿刺引流和/或经皮肝胆管内支架引流治疗的恶性胆道梗阻性黄疸患者71例为研究对象,在治疗的重点环节开展预防性护理干预,包括心理疏导、并发症预防等。观察患者焦虑、抑郁等负性心理变化,统计分析患者术后并发症、治疗依从性和满意度。结果 71例患者中69例(97.18%)患者对治疗依从。68例(95.77%)患者对护理工作表示满意,3例(4.23%)患者发生术后并发症。其中胆道感染者2例(282%),术后严重电解质紊乱1例(1.41%),对症处理后均得到控制;71例经过护理干预,患者术前 SAS、SDS 评分较入院时显著降低,两者比较差异有统计学意义(P<0.05)。患者术后血清总胆红素、GGT随时间的延伸均呈快速下降趋势,且与术前比较均有统计学意义 (P<0.05)。结论 加强恶性胆道梗阻性黄疸介入治疗中重点环节和部位的护理干预,可有效缓解患者术前不良情绪,增强患者治疗依从性,降低术后并发症,同时增进了医患的相互理解与信任,提高临床疗效和患者治疗满意度,提升患者的生活质量。
关键词:  恶性胆道梗阻性黄疸  介入治疗  并发症  护理
DOI:
基金项目:陕西省自然科学基金(2014JM4028)
The nursing effect evaluation of interventional treatment of malignant biliary obstructive jaundice
ZHANG Xiaoyuan,LIN Shuangqin
(Department of Geriatrics, Baoji Central Hospital;Operation Room, Baoji Central Hospital)
Abstract:
【Abstract】Objective To explore effect of the nursing methods of interventional therapy on malignant biliary obstructive jaundice patients. Methods 71 malignant biliary obstructive jaundice patients were selected as the research object. The preventive nursing intervention included psychological counseling, complication prevention, observation of patients with anxiety, depression and other negative psychological change. The postoperative complications, treatment compliance and satisfaction were observed. Results There were 69 cases (97.18%) wih treatment compliance. 68 cases (95.77%) were satisfied with the nursing. The postoperative complications occurred in 3 patients (4.23%) patients, including 2 cases (2.82%) with biliary tract infection and 1 case (1.41%) with postoperative severe electrolyte disorder. After nursing intervention, the preoperative SAS, SDS score significantly reduced compared with those before treatment (P <0.05). The serum total bilirubin and GGT after treatment were rapidly declined compared with those before treatment (P<0.05). Conclusion Nursing intervention for malignant biliary obstructive jaundice can effectively relieve the preoperative bad feelings, enhance patient treatment compliance, reduce the postoperative complications, improve the clinical curative effect, improve patient quality of life, doctorpatient trust and understanding and patient satisfaction.
Key words:  Malignant biliary obstructive jaundice  Interventional therapy  Complications  Nursing

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