延续性护理在带PTCD管出院后患者居家时对并发症的影响  

Influence of continuous nursing care on home time complications of patients with PTCD after discharge

作　　者：余林欢[1] 欧庭用 杜惠梅[1] 林艳霞[1] 

机构地区：[1]江门市中心医院肝胆外科,529070

出　　处：《国际医药卫生导报》2016年第22期3404-3406,共3页International Medicine and Health Guidance News

基　　金：江门市科学技术局科研项目（江科[2015]73号第26项）

摘　　要：目的 探讨延续性护理在带PTCD管出院后患者居家时对并发症的影响.方法 选择带PTCD管出院患者60例,按照随机数字表法随机分为观察组30例和对照组30例.两组住院期间和出院前都由责任护士进行带PTCD管护理方法和出院后注意事项健康教育,观察组出院后由专职护士进行面对面访谈或电话健康宣教方式进行护理干预.结果 观察组经过延续性护理后食欲下降7例、腹痛2例、感染3例、管道脱出1例、管道堵塞1例,谷丙转氨酶（42.12±3.46） IU/L、谷草转氨酶（37.43±4.62）IU/L、总胆红素（24.40±3.65）IU/L、直接胆红素（4.26±3.52） IU/L、间接胆红素（13.78±4.29） IU/L,与对照组进行对比,在食欲下降、腹痛、感染上比较差异有统计学意义（P＜0.05）,在管道脱出、管道堵塞上比较差异无统计学意义（P＞0.05）,在肝功能上比较差异有统计学意义（P＜ 0.05）.结论 对带PT℃D管出院后患者进行延续性护理服务,能明显降低居家时并发症的发生率,有利于肝功能恢复,从而促进患者尽快康复.Objective To investigate the influence of continuous nursing care on home time complications of patients with PTCD after discharge.Methods 60 patients with PTCD were discharged from the hospital and randomly divided into an observation group and a control group according to the random number table method,30 cases for each group.During hospitalization and before discharge,both groups received health education about PTCD tube nursing and post-discharge do＆#39;s and don＆#39;ts.After discharge,the observation group got nursing intervention through face-to-face interview or telephone health education.Results After continuous nursing care,7 case lost appetite,2 got abdominal pain,3 were infected,1 got pipeline,and 1 got pipe blockage and the alanine aminotransferase level was （42.12 ± 3.46） IU/L）,glutamic oxaloacetic transaminase （37.43 ± 4.62） IU/L,total bilirubin （24.40 ± 3.65） IU/L,direct bilirubin （4.26 ± 3.52） IU/L,and indirect bilirubin （13.78 ± 4.29） IU/L in the observation group.There were statistical differences in appetite,abdominal pain,infections,and liver function （P 〈 0.05） but not in pipeline and pipe blockage （P 〉 0.05） between these two groups.Conclusions Continuous care service for patients with PTCD after discharge can significantly reduce the incidence of complications at home and is conducive to the recovery of liver function,and promotes the patients＆#39; recovery.

关 键 词：PTCD管 带管出院 并发症 延续性护理 

分 类 号：R657.41[医药卫生—外科学]