ERCP术中配合及全方位护理效果对胆总管结石患者的影响  

Effect of ERCP Intraoperative Coordination and Comprehensive Nursing on Patients with Choledocholithiasis

作　　者：徐丹[1] 赵利芳[2] 姜红建 祁代华[1] XU Dan;ZHAO Lifang;JIANG Hongjian;QI Daihua(Department of Endoscopic Diagnosis and Treatment,Xinxiang Central Hospital,Xinxiang Henan 453000,China;Department of Anesthesia and Perioperative Medicine,Xinxiang Central Hospital,Xinxiang Henan 453000,China)

机构地区：[1]新乡市中心医院内镜诊疗部,河南新乡453000 [2]新乡市中心医院麻醉与围术期医学科,河南新乡453000

出　　处：《临床研究》2024年第2期165-167,共3页Clinical Research

基　　金：甲苯磺酸瑞马唑仑在无痛ERCP中的应用研究[2020-099-01(K)]。

摘　　要：目的探讨经内镜逆行性胰胆管造影术(ERCP)术中配合及全方位护理对胆总管结石患者的影响。方法选取2020年9月至2022年8月在新乡市中心医院接受ERCP治疗的胆总管结石患者共计100例,以随机数字表法分为干预组(n=50)与对照组(n=50),对照组实行常规护理干预,干预组实行术中配合及全方位护理干预,对两组临床指标、负性心理、生活质量及并发症发生率进行比较。结果干预组首次进食时间、离床活动时间、住院时间短于对照组,差异有统计学意义(P<0.05)。干预后,两组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均有所降低,且干预组低于对照组,差异有统计学意义(P<0.05)。干预后,两组世界卫生组织生存质量测定量表简表(WHOQOLBREF)评分均有所提升,且干预组高于对照组,差异有统计学意义(P<0.05)。干预组并发症发生率(4.00%)低于对照组(18.00%),差异有统计学意义(P<0.05)。结论加强术中配合及全方位护理能够使胆总管结石患者行ERCP临床指标得到改善,减少负性心理发生,提高生活质量,减少并发症发生。Objective To investigate the effects of endoscopic retrograde cholangiopancreatography(ERCP)on patients with choledocholithiasis.Methods A total of 100 patients with choledocholithiasis who received ERCP treatment in our hospital from September 2020 to August 2022 were selected and divided into the intervention group(n=50)and control group(n=50)by random number table method.The control group received routine nursing intervention,while the intervention group received intraoperative coordination and comprehensive nursing intervention.The clinical indexes,negative psychology,quality of life,and complication rates of the two groups were compared.Results The first feeding time,the time of leaving bed,and the time of hospitalization in the intervention group were shorter than those in the control group,the difference was statistically significant(P<0.05).After the intervention,the scores of the self-rating anxiety scale(SAS)and self-rating Depression Scale(SDS)were decreased in both groups,and the intervention group was lower than the control group,the difference was statistically significant(P<0.05).After the intervention,the world health organization quality of life(WHOQOL-BREF)scores in both groups were improved,and the intervention group was higher than the control group,the difference was statistically significant(P<0.05).The incidence of complications in the intervention group(4.00%)was lower than that in the control group(18.00%),and the difference was statistically significant(P<0.05).Conclusion Strengthening intraoperative coordination and comprehensive nursing can improve the clinical indicators of ERCP in patients with choledocholithiasis,reduce negative psychological occurrence,improve quality of life,and reduce complications.

关 键 词：胆总管结石 经内镜逆行性胰胆管造影术 术中配合 全方位护理 

分 类 号：R473[医药卫生—护理学]