綜合護(hù)理干預(yù)對(duì)經(jīng)皮肝穿刺引流術(shù)治療膽管癌并發(fā)癥的影響

任威穎++尹大龍

[摘要] 目的 探討與分析綜合護(hù)理干預(yù)對(duì)經(jīng)皮肝穿刺引流術(shù)治療膽管癌并發(fā)癥的影響。 方法 選取哈爾濱醫(yī)科大學(xué)附屬第一醫(yī)院2015年4月～2017年4月接受經(jīng)皮肝穿刺引流術(shù)治療的膽管癌患者90例，采取隨機(jī)數(shù)字表法分為對(duì)照組與觀察組，每組各45例。對(duì)照組給予常規(guī)護(hù)理，觀察組在對(duì)照組基礎(chǔ)上給予綜合護(hù)理干預(yù)，兩組均連續(xù)護(hù)理2個(gè)月，比較兩組患者并發(fā)癥發(fā)生率、護(hù)理滿意度及生存質(zhì)量。 結(jié)果 觀察組感染、腹腔內(nèi)出血、惡心嘔吐、膽漏、休克發(fā)生率均低于對(duì)照組，差異有統(tǒng)計(jì)學(xué)意義（P < 0.05）。觀察組護(hù)理滿意度明顯高于對(duì)照組，差異有統(tǒng)計(jì)學(xué)意義（P < 0.05）。護(hù)理后兩組患者軀體功能、角色功能、認(rèn)知功能、情緒功能及社會(huì)功能評(píng)分均高于護(hù)理前，觀察組上述評(píng)分升高更加顯著，差異均有統(tǒng)計(jì)學(xué)意義（均P < 0.05）。 結(jié)論 綜合護(hù)理干預(yù)可降低經(jīng)皮肝穿刺引流術(shù)治療膽管癌患者的并發(fā)癥發(fā)生率，提高護(hù)理滿意度，改善生存質(zhì)量。

[關(guān)鍵詞] 綜合護(hù)理干預(yù)；經(jīng)皮肝穿刺引流術(shù)；膽管癌；并發(fā)癥

[中圖分類號(hào)] R473 [文獻(xiàn)標(biāo)識(shí)碼] A [文章編號(hào)] 1673-7210（2017）11（a）-0157-04

The effect of comprehensive nursing intervention on complications of percutaneous liver puncture drainage in the treatment of biliary carcinoma

REN Weiying YIN Dalong▲

Department of Liver Surgery， the First Affiliated Hospital of Harbin Medical University， Heilongjiang Province， Harbin 150001， China

[Abstract] Objective to explore and analyze the effect of comprehensive nursing intervention on complications of percutaneous liver puncture drainage in the treatment of biliary carcinoma. Methods Ninety cases of patients with biliary carcinoma underwent percutaneous liver puncture drainage from April 2015 to April 2017 in the First Affiliated Hospital of Harbin Medical University were selected and divided into the control group and the observation group by random number table， with 45 cases in each group. The control group was given routine nursing care and the observation group was given comprehensive nursing intervention. Each group was given continuous nursing for 2 months. The complication rate， nursing satisfaction and the quality of life were compared between the two groups. Results The rates of infection， abdominal bleeding， nausea and vomiting， bile leakage and shock in the observation group were lower than those of control group， with statistically significant differences（P < 0.05）. The nursing satisfaction in the observation group was higher than that of control group， with statistically significant difference（P < 0.05）. After nursing， the scores of physical function， role function， cognitive function， emotional function and social function in the two groups were all higher than those of before nursing， and the indicators above in the observation group increased more remarkablely， with statistically significant difference （all P < 0.05）. Conclusion Comprehensive nursing intervention in patients with bile duct carcinoma underwent percutaneous liver puncture drainage can reduce the complication rate， improve nursing satisfaction and promote the quality of life.endprint