集束化护理干预在胆总管结石疾病行ERCP中的应用分析  

Application Analysis of Cluster Nursing Intervention in ERCP of Choledocholithiasis

作　　者：江秀珠 许英铭 余祥成 JIANG Xiuzhu;XU Yingming;YU Xiangcheng(Yangjiang Hospital of Traditional Chinese Medicine,Yangjiang 529500,China)

机构地区：[1]阳江市中医医院,广东阳江529500

出　　处：《中外医学研究》2021年第7期121-123,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:分析集束化护理干预在胆总管结石疾病行经内镜下逆行胰胆管造影术(endoscopic retrograde cholangiopancreatography,ERCP)中的应用价值,旨在为行ERCP的胆总管结石患者治疗与护理质量管理提供科学有效的临床数据。方法:选取2018年5月-2020年4月在笔者所在医院内科行ERCP治疗的80例胆总管结石患者作为研究对象,采用简单数字表法随机分为对照组和试验组,各40例,对照组给予常规护理干预,试验组给予集束化护理干预,对比两种术后恢复情况及护理满意度。结果:术前两组疼痛感评分比较差异无统计学意义(P>0.05),术后12 h试验组疼痛感评分低于对照组,试验组下床时间、住院时间均短于对照组,差异均有统计学意义(P<0.05);试验组总满意度为92.50%,高于对照组的67.50%,差异有统计学意义(P<0.05)。结论:集束化护理干预能显著缩短患者下床时间与住院时间,明显减缓疼痛,促进患者恢复,深受医护工作者与患者好评,值得进一步推广应用。Objective:To analyze the application value of cluster nursing intervention in(endoscopic retrograde cholangiopancreatography)ERCP of choledocholithiasis,and to provide scientific and effective clinical data for the treatment and nursing quality management of patients with choledocholithiasis undergoing ERCP.Method:Eighty patients with choledocholithiasis who received ERCP treatment in the internal medicine department of the author’s hospital from May 2018 to April 2020 were selected as the research subjects,they were randomly divided into the control group and the experimental group by simple digital table method,40 cases each,The control group was given routine nursing intervention,and the experimental group was given cluster nursing intervention.The two postoperative recovery conditions and nursing satisfaction were compared.Result:There was no significant difference in preoperative pain score between the two groups(P>0.05),12 h after surgery,the score of pain in the experimental group was lower than that in the control group,and the time of getting out of bed and hospital stay in the experimental group were shorter than those in the control group,the differences were statistically significant(P<0.05).The total nursing satisfaction in the experimental group was 92.50%,which was significantly higher than 67.50%in the control group,the difference was statistically significant(P<0.05).Conclusion:The cluster nursing intervention can significantly shorten the time of getting out of bed and hospitalization,significantly reduce the pain,and promote the recovery of patients.It is well received by medical care and patients,and is worthy of further promotion and application.

关 键 词：集束化护理干预 胆总管结石 经内镜下逆行胰胆管造影术 

分 类 号：R473.6[医药卫生—护理学]