三镜联合治疗胆总管结石患者基于决策辅助的术前教育  

Preoperative education based on decision aids in patients with common bile duct stones undergoing laparoscopy, duodenoscopy and choledochoscopy treatment

作　　者：谢芳[1] 傅巧美[2] 凡银银 张静[1] 梁有俊[1] Xie Fang;Fu Qiaomei;Fan Yinyin;Zhang Jing;Liang Youjun(Biliary and Pancreatic Surgical Department,Nanjing DrumTower Hospital,The Affiliated Hospital,of Nanjing University Medical School,Nanjing 210008,China)

机构地区：[1]南京大学医学院附属鼓楼医院胆胰外科,江苏南京210008 [2]南京大学医学院附属鼓楼医院外科,江苏南京210008

出　　处：《护理学杂志》2019年第17期69-72,共4页Journal of Nursing Science

摘　　要：目的探讨基于决策辅助的术前教育在三镜联合治疗胆囊并胆总管结石患者加速康复外科中的应用效果。方法选取行三镜联合治疗胆囊并胆总管结石患者60例,采用随机数字表法将患者分成干预组和对照组各30例。对照组采取常规术前教育,干预组采取基于决策辅助的术前教育。结果干预结束时,干预组决策参与满意度得分和术后治疗依从性得分显著高于对照组,干预组术后首次排气时间、引流时间和住院时间显著短于对照组(P<0.05,P<0.01)。结论基于决策辅助的术前教育有助于提高三镜联合治疗胆囊并胆总管结石患者的决策参与满意度、术后治疗依从性,有利于促进患者术后恢复。Objective To explore the application effect of preoperative education based on decision aids in enhanced recovery after surgery for patients with gall bladder and bile duct stones undergoing laparoscopy,duodenoscopy and choledochoscopy treatment. Methods Sixty patients with gall bladder and bile duct stones undergoing laparoscopy,duodenoscopy and choledochoscopy treatment were randomized into an intervention group and a control group using a random number table,with 30 patients in each group.The control group received routine preoperative education,while the intervention group received preoperative education based on decision aids. Results After the intervention,the score of decision-making participation satisfaction and postoperative treatment compliance in the intervention group were significantly higher than those of the control group,and the postoperative recovery time of gastrointestinal function,drainage time and hospital stays in the intervention group were significantly shorter than those of the control group ( P <0.05,P <0.01). Conclusion The preoperative education based on decision aids is helpful to improve the satisfaction of decision-making participation and postoperative treatment compliance for patients with gall bladder and bile duct stones undergoing laparoscopy,duodenoscopy and choledochoscopy treatment,and it is conducive to improving patients′ postope- rative recovery.

关 键 词：胆囊结石 胆总管结石 三镜联合术 术前教育 决策辅助 加速康复外科 决策参与 

分 类 号：R473.1[医药卫生—护理学] R473.6[医药卫生—临床医学]