基于循证理论的预见性护理对恶性梗阻性黄疸患者ERCP后并发症及生活质量的影响  

Effect of predictive nursing based on evidence-based theory on complications and quality of life after ERCP in patients with malignant obstructive jaundice

作　　者：贾广云 王茜 刘亚如 闫翠 郭美段 高倩倩 JIA Guangyun;WANG Qian;LIU Yaru;YAN Cui;GUO Meiduan;GAO Qianqian(Department of Gastroenterology,Caoxian People's Hospital,Heze,Shandong 274400,China;First Ward of Department of Bone Surgery,Caoxian People's Hospital,Heze,Shandong 274400,China;Department of Gastroenterology,Heze Mudan People's Hospital,Heze,Shandong 274009,China;Department of Urology and Andrology,Heze Hospital of Traditional Chinese Medicine,Heze,Shandong 274009,China)

机构地区：[1]曹县人民医院消化内科,山东菏泽274400 [2]曹县人民医院骨外科一病区,山东菏泽274400 [3]菏泽市牡丹人民医院消化内科,山东菏泽274009 [4]菏泽市中医医院泌尿两腺科,山东菏泽274009

出　　处：《医药前沿》2025年第11期134-137,共4页Journal of Frontiers of Medicine

摘　　要：目的探讨基于循证理论的预见性护理对恶性梗阻性黄疸患者内镜下逆行胆胰管造影术(ERCP)后并发症及生活质量的影响。方法选取2022年12月—2023年12月曹县人民医院收治的60例行ERCP治疗的恶性梗阻性黄疸患者,按照护理方法不同分为观察组和对照组,各30例。对照组采用常规护理,观察组采用基于循证理论的预见性护理。比较两组患者并发症、生活质量及对护理满意度。结果护理后,观察组并发症总发生率低于对照组,对护理总满意度高于对照组,差异有统计学意义(P<0.05)。护理后,两组恶性梗阻性黄疸生活质量问卷11黄疸症状、瘙痒症状、消化症状、消瘦、发热评分和总分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论基于循证理论的预见性护理能够有效降低恶性梗阻性黄疸患者ERCP后并发症发生率,提高其生活质量和对护理满意度。Objective To explore the effect of predictive nursing based on evidence-based theory on complications and quality of life in patients with malignant obstructive jaundice after endoscopic retrograde cholangiopancreatography(ERCP).Methods A total of 60 patients with malignant obstructive jaundice treated with ERCP in Caoxian People's Hospital from December 2022 to December 2023 were selected and divided into observation group and control group according to different nursing methods,with 30 cases in each group.The control group was treated with routine nursing,and the observation group was treated with predictive nursing based on evidence-based theory.The complications,quality of life and nursing satisfaction were compared between the two groups.Results After nursing,the total incidence of complications in the observation group was lower than that in the control group,and the total satisfaction of nursing was higher than that in the control group,the differences were statistically significant(P<0.05).After nursing,the scores of jaundice symptoms,pruritus symptoms,digestive symptoms,emaciation,fever and total scores of Quality of Life Questionnaire of Malignant Obstructive Jaundice 11 in the two groups were higher than those before nursing,and those in the observation group were higher than the control group,the differences were statistically significant(P<0.05).Conclusions Predictive nursing based on evidence-based theory can effectively reduce the incidence of complications after ERCP in patients with malignant obstructive jaundice,and improve their quality of life and nursing satisfaction.

关 键 词：恶性梗阻性黄疸 内镜下逆行胆胰管造影术 循证理论 预见性护理 并发症 恶性梗阻性黄疸生活质量问卷11 

分 类 号：R473[医药卫生—护理学]