经颈静脉肝内门体分流术治疗肝硬化门脉高压症的护理干预效果  

Clinical effects of integrated perioperative nursing in patients undergoing transjugular intrahepatic portosystemic shunt for cirrhotic portal hypertension

作　　者：李展锋 颜萍 张晓莉 周红意 

机构地区：[1]宁波医疗中心李惠利医院消化内科,浙江省宁波市315040

出　　处：《世界华人消化杂志》2015年第30期4887-4891,共5页World Chinese Journal of Digestology

摘　　要：目的:探讨临床中经颈静脉肝内门体分流术(transjugular intrahepatic portosstemin shunt,TIPS)治疗肝硬化门脉高压症的临床护理方法及效果,为以后TIPS的临床护理提供参考.方法:本研究选取2011-01/2013-12宁波医疗中心李惠利医院的120例TIPS治疗肝硬化门脉高压症患者为研究对象,并且依据不同护理方法分为研究组与对照组,均60例.对照组患者实施TIPS的常规护理,研究组患者在常规护理基础上采取围术期综合护理,主要包括术前和术后的护理.同时,对两组患者护理后的临床护理满意度和术后并发症以及舒适度情况进行统计学观察.结果:相比对照组,研究组护理满意度高(93.3%vs 73.3%)(P<0.05),术后并发症发生率少(6.7%vs 18.3%)(P<0.05),术后轻度不适、中度不适和重度不适率分别为71.7%、15.0%、13.3%;对照组为11.7%、26.7%、6 1.6%;两组数据比较差异有统计学意义(P<0.05).结论:临床中经颈静脉肝内门体分流术治疗肝硬化门脉高压症是可行的,其创伤比较小,且临床效果显著.手术的过程中实施围术期针对性的护理,更好的便于患者术后恢复,且有效地降低术后并发症.同时,针对性护理提高患者的临床护理满意度,提高术后舒适度,值得临床中应用.AIM：To evaluate the clinical effects of integrated perioperative nursing in patients undergoing transjugular intrahepatic portosystemic shunt（TIPS） for cirrhotic portal hypertension.METHODS：One hundred and twenty patients with cirrhotic portal hypertension who underwent TIPS treatment at Lihuili Hospital of Ningbo Medical Treatment Center from January 2011 to December 2013 were divided into either a study group or a control group based on the method of care.The control group received conventional care,and the study group received integrated perioperative nursing care on the basis of conventional care,including preoperative and postoperative care.Patient＇s satisfaction with nursing care,postoperative complications and comfort level were compared for the two groups.RESULTS：Patient＇s satisfaction with nursing care was significantly higher in the study group than in the control group（93.3%vs73.3%,P〈0.05）.The incidence of postoperative complications was significantly lower in the study group than in the control group（6.7%vs 18.3%,P〈0.05）.The percentages of patients with mild,moderate and high levels of discomfort were 71.7%,15.0%,and 13.3%,respectively,significantly higher than those in the control group（11.7%,26.7%,and 61.6%,respectively;P〈0.05）.CONCLUSION：Integrated perioperative nursing in patients undergoing transjugular intrahepatic portosystemic shunt for cirrhotic portal hypertension can facilitate postoperative recovery,effectively reduce postoperative complications,and improve patient＇s satisfaction with clinical care and postoperative comfort.

关 键 词：肝硬化门脉高压症 经颈静脉肝内门体分流术 护理 效果 

分 类 号：R473.6[医药卫生—护理学]