双全护理联合管道追踪管理在复杂性肝内胆结石患者T型引流管管理中应用研究  

Study of Dual Total Care Combined with Tube Tracking Management in the Management of T-drainage Tubes in Patients with Complex Intrahepatic Gallstones

作　　者：魏盼 王晓楠 Wei Pan;Wang Xiaonan(General Surgery Department,Puyang Oilfield General Hospital,Puyang,Henan,457001,China)

机构地区：[1]濮阳市油田总医院普外科,河南濮阳457001 [2]濮阳市人民医院心内科,河南濮阳457000

出　　处：《黑龙江医学》2023年第15期1901-1903,共3页Heilongjiang Medical Journal

摘　　要：目的:探讨双全护理联合管道追踪管理在复杂性肝内胆结石患者T型引流管中的应用效果。方法:选取2020年1月—2021年1月样本医院收治的106例复杂性肝内胆结石患者作为研究对象,按随机数表法分为两组,每组各53例。对照组采用常规护理;观察组采用双全护理联合管道追踪管理,持续观察至患者出院。对比两组患者术后引流管不良事件与并发症发生率、生活质量及护理满意度。结果:观察组术后引流管不良事件发生率和并发症发生率低于对照组,差异有统计学意义(χ^(2)=4.296、4.970,P<0.05);干预后,观察组生活质量综合评定问卷(GQOLI-74)中的心理评分、躯体评分、社会功能评分、物质生活评分高于对照组,差异有统计学意义(t=8.140、7.267、6.347、7.088,P<0.05);观察组护理内容、护理时间、护理方式、护理效果评分均高于对照组,差异有统计学意义(t=7.993、6.341、10.820、11.566,P<0.05)。结论:双全护理联合管道追踪管理用于复杂性肝内胆结石患者T型引流管管理中,有利于降低管道堵塞等不良事件发生风险,减少术后并发症的发生,从而改善术后生活质量,提升患者护理满意度。Objective:To investigate the effectiveness of dual total care combined with tube tracking management in patients with complex intrahepatic gallstones with T-drainage tubes.Methods:106 patients with complicated intrahepatic gallstones admit-ted to the sample hospitals from January 2020 to January 2021 were selected and divided into two groups according to the random number table method,with 53 cases in each group.The control group used conventional care and the observation group used dual total care combined with pipeline follow-up management and continued observation until the patients were discharged.The inci-dence of postoperative drainage tube adverse events and complications,quality of life,and satisfaction with care were compared be-tween the two groups.Results:The incidence of postoperative drainage tube adverse events and complications in the observation group was lower than that in the control group,and the difference was statistically significant(χ^(2)=4.296,4.970,P<0.05).After the intervention,the psychological scores,somatic scores,social function scores,and physical life scores on the General Quality of Life Assessment Questionnaire(GQOLI-74)were higher in the observation group than in the control group,with statistically significant differences(t=8.140,7.267,6.347,7.088,P<0.05).The observation group had higher nursing content,nursing time,nursing style,and nursing effect scores than the control group,and the differences were statistically significant(t=7.993,6.341,10.820,11.566,P<0.05).Conclusion:Dual total care combined with tube tracking management in the management of T-drainage tubes in pa-tients with complex intrahepatic gallstones is beneficial in reducing the risk of adverse events such as tube blockage and postopera-tive complications,thereby improving postoperative quality of life and enhancing patient care satisfaction.

关 键 词：复杂性肝内胆结石 T型引流管 双全护理 管道追踪管理 引流管不良事件 并发症 

分 类 号：R473.6[医药卫生—护理学]