护理干预对内镜逆行胰胆管造影患者的效果与分析  

The effects and analysis of nursing intervention on the patients with endoscope retro-grade cholangiopancreatography

作　　者：裴雪霞[1] 

机构地区：[1]徐州市中心医院,江苏徐州221009

出　　处：《国际护理学杂志》2013年第3期626-628,共3页international journal of nursing

摘　　要：目的通过分析逆行胰胆管造影（ERCP）患者在手术前后的各项指标变化，探讨护理干预对内镜逆行胰胆管造影术的效果。方法将237例ERCP的患者随机分为实验组和对照组，实验组在术前至术后给予系统、完整的护理干预，对照组进行常规护理操作；比较两组患者的生理指标、术后并发症发生率、住院时间、焦虑自评量表（SAS）得分差异。结果实验组与对照组患者在手术前后的生理指标变化、插管成功所需要的时间、住院日和SAS得分存在显著差异（P〈0．05），术后并发急性胰腺炎、急性胆管炎、出血、穿孔等并发症无统计学意义（P〉0．05）。结论护理干预在ERCP前后对患者的焦虑情绪作用显著，改善了护患关系，提高护理质量，在临床护理工作中具有一定的实践意义。Objective To study the effects of nursing intervention on the patients with endoscope retrograde cholangiopancreatogra-phy by the changes of some indicators. Methods A total of 237 patients with ERCP were randomly divided into experimental group and control group. In the experimental group, a systematic and integrated nursing intervention was given to patients before and after ERCP, while that of routine nursing in the control group. The changes of physiology indicators, complication incidence, average days, SAS score of two groups patients were compared. Results The indicators which the changes of physiology indicators, the time needed for successful catheter- ization, average days, SAS score in the experimental group and control group were changed significantly （ P 〈 0. 05 ） , and the complication incidence indicators were not changed significantly （ P 〉 0. 05 ） . Conclusions The nursing intervention can ease the anxiety of the patients before and after ERCP and improve nurse - patient relationship and the quality of nursing care as well.

关 键 词：护理干预 逆行胰胆管造影术 内镜 

分 类 号：R473.5[医药卫生—护理学]