Application of "hospital-community-family" linked continuing care model in patients receiving percutaneous transhepatic cholangiodrainage
10.3760/cma.j.issn.1674-2907.2018.34.009
- VernacularTitle:"医院-社区-家庭"联动延续性护理模式在经皮肝穿刺胆道引流患者中的应用
- Author:
Cuihong JI
1
;
Xiaoyan XU
;
Na WANG
;
Suiyi LIN
;
Hongjing YU
Author Information
1. 广州医科大学附属第二医院护理部
- Keywords:
Continuing care;
Percutaneous transhepatic cholangiodrainage;
Hospital-community-family;
Complication;
Self-care
- From:
Chinese Journal of Modern Nursing
2018;24(34):4121-4125
- CountryChina
- Language:Chinese
-
Abstract:
Objective? To evaluate the effects of the "hospital-community-family" linked continuing care model dominated by nurses on the complication and self-care ability of patients receiving percutaneous transhepatic cholangiodrainage (PTCD). Methods? Totally 108 patients with malignant obstructive jaundice treated in the Department of Hepatobiliary Surgery, the Second Affiliated Hospital of Guangzhou Medical University from May 2016 to March 2018 were selected by convenient sampling and divided into two groups according to the random number table. Patients in the treatment group (n=54) received the "hospital-community-family" linked continuing care, while patients in the control group (n=54) received conventional health education before discharge. The incidence rate of complications and patients' self-care ability 3 months post discharge were evaluated in the two groups. Results? The incidence rates of biliary tract infection, PTCD catheter obstruction or pullaway, wound infection and pipeline related hospitalization in the treatment group 3 months post discharge were 18.52%, 1.85%, 1.85% and 11.11% respectively, lower than those of the control group, 40.74%, 12.96%, 11.11% and 27.78% (χ2=8.000, 5.290, 4.182, 7.289; P＜0.05). The total score of self-care ability of the treatment group 3 months post discharge was (135.09±7.08), higher than that of the control group, which was (104.72±5.33), (t=25.174,P＜0.01). Conclusions? The "hospital-community-family" linked continuing care model dominated by nurses can reduce the incidence rate of catheter-associated complications after discharge in PTCD patients and enhance their self-care ability.
