Application of continuity nursing model in caring patients receiving percutaneous transhepatic biliary drainage
10.3969/j.issn.1008-794X.2017.02.020
- VernacularTitle:延续性护理模式在经皮肝穿刺胆道引流患者的应用
- Author:
Xiuchun YANG
;
Yuelan QIN
;
Jinhui HU
;
Wei MO
- Keywords:
malignant obstructive jaundice;
percutaneous transhepatic biliary drainage;
continuity nursing model;
application effect
- From:Journal of Interventional Radiology
2017;26(2):180-183
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical value of continuity nursing model in caring patients with malignant obstructive jaundice treated with percutaneous transhepatic biliary drainage (PTBD).Methods A total of 120 patients with malignant obstructive jaundice treated by PTCD were enrolled in this study.The patients were divided into the control group (n=60) and the observation group (n=60).Routine discharge guidance and health education was conducted for the patients of control group,while for the patients of observation group,in addition to conventional discharge education,the continuity nursing was executed by the responsible nurse.Continuity nursing was meant to continue the service,to guide the observation of the wound and dressing change,the observation of the quantity and quality of drainage solution,to teach the knowledge of the management of PTCD catheter as well as its complications,to guide patient's diet and rest,and to establish the continuity nursing records.Results The patients of both groups were followed up for 3 months.The patients' awareness rate of the knowledge related to PTCD tube in the observation group was significantly higher than that in the control group.The wound infection rate,the rate of PTCD tube prolapse or blockage,and the tube-related re-hospitalization rate in the observation group were strikingly lower than those in the control group (P＜0.05).Conclusion The continuity nursing model can significantly improve patients' awareness rate about the knowledge related to PTCD tube,reduce the incidences of biliary tract infection,PTCD tube prolapse or blockage,wound infection,and tube-related re-hospitalization,therefore,the quality of life can be surely improved.
