延續(xù)性護(hù)理模式對(duì)經(jīng)皮肝穿刺膽道引流患者的效果分析

　　摘   要：目的  分析延續(xù)性護(hù)理模式應(yīng)用于經(jīng)皮肝穿刺膽道引流患者的效果。方法  從我院進(jìn)行皮肝穿刺膽道引流術(shù)的患者中選取180例作為研究對(duì)象，分為觀察組和對(duì)照組，分別給予對(duì)照組患者常規(guī)護(hù)理，觀察組患者進(jìn)行延續(xù)性護(hù)理，對(duì)兩組患者的PTCD管認(rèn)知程度、管道脫堵與并發(fā)癥情況進(jìn)行觀察。結(jié)果  觀察組患者在PTCD管認(rèn)知程度上優(yōu)于對(duì)照組;觀察組患者出現(xiàn)膽道感染、PTCD管脫堵、傷口感染的概率低于對(duì)照組，觀察組患者再入院率12.22%，低于對(duì)照組31.11%，差異均有統(tǒng)計(jì)學(xué)意義（P<0.05）。結(jié)論  延續(xù)性護(hù)理提高了患者對(duì)PTCD帶管知識(shí)的了解，降低膽道感染、傷口感染、PTCD管堵脫及再關(guān)入院率，有效的提高患者的生活質(zhì)量。
　　關(guān)鍵詞：延續(xù)性護(hù)理;皮肝穿刺膽道引流;PTCD管認(rèn)知程度
　　中圖分類號(hào)：R472                                   文獻(xiàn)標(biāo)識(shí)碼：A                                 DOI：10.3969/j.issn.1006-1959.2018.05.064
　　文章編號(hào)：1006-1959（2018）05-0174-02
　　Analysis of the Effect of Continuous Nursing Mode on Patients with Percutaneous Transhepatic Choledochal Drainage
　　GENG Jin-ping
　�。―epartment of Physical Examination，Zhongxiang People"s Hospital，Zhongxiang 431900，Hubei，China）
　　Abstract：Objective  To analyze the effect of continuous nursing model applied to patients with percutaneous transhepatic biliary drainage.Methods  180 patients undergoing percutaneous liver puncture and biliary drainage in our hospital were selected as study objects and divided into observation group and control group.The patients in the control group were given routine nursing respectively. The patients in the observation group were given continuous nursing.The cognition degree of the PTCD tube，the blockage and complications of the two groups were observed.Results  The patients in the observation group PTCD cognitive level better than the control group;the observation group patients with biliary tract infection and PTCD tube removal，blocking probability of wound infection is lower than the control group，the observation group of patients with readmission rate of 12.22%，31.11% lower than the control group， the differences were statistically significant（P<0.05）.Conclusion  Continuous nursing improves patients" knowledge of PTCD tube knowledge， reduces biliary tract infection，wound infection，PTCD tube blockage and re admission rate，and effectively improves the quality of life of patients.
　　Key words：Continuing nursing;Percutaneous transhepatic biliary drainage;PTCD cognition
　　經(jīng)皮肝穿刺膽道引流術(shù)（percutaneous transhepaticcholangial drainage ，PTCD）是一種常用于治療晚期惡性梗阻性黃疸患者，可以有效的減輕黃疸癥狀，改善身體狀況，提高生活質(zhì)量[1]。雖然經(jīng)皮肝穿刺膽道引流術(shù)微創(chuàng)手術(shù)，但術(shù)后患者需要攜帶引流管一段較長(zhǎng)的時(shí)間，影響患者的正常生活[2]。本文主要研究對(duì)于經(jīng)皮肝穿刺膽道引流患者采用延續(xù)護(hù)理的護(hù)理效果，現(xiàn)報(bào)告如下。

相關(guān)熱詞搜索：膽道 延續(xù)性 引流 穿刺 護(hù)理