The quality of life of post-discharge patients carrying drainage tube after PTBD: a qualitative study
10.3969/j.issn.1008-794X.2018.02.019
- VernacularTitle:PTBD患者院外带管生活体验的质性研究
- Author:
Wei MO
1
;
Yuan XU
;
Xiuchun YANG
;
Yuelan QIN
Author Information
1. 410005,长沙 湖南省人民医院/湖南师范大学附属第一医院
- Keywords:
obstructive jaundice;
percutaneous transhepatic cholangiography drainage;
interventional therapy;
life experience;
qualitative research;
continuing nursing
- From:Journal of Interventional Radiology
2018;27(2):178-180
- CountryChina
- Language:Chinese
-
Abstract:
Objective To make a further recognition of the real quality of life of post-discharge patients who carry a percutaneous transhepatic biliary drainage (PTBD) tube due to malignant obstructive jaundice in order to formulate the corresponding scheme of health education and continued nursing. Methods By using qualitative research with phenomenological method, the interventional specialized nurse made a indepth interview with the post-discharge patients who carried a PTBD tube due to malignant obstructive jaundice. Colaizzi seven-step analysis method was adopted to collate and analyze the clinical data. Results A total of 10 patients were finally enrolled in this study. The main considerations of patients carrying a PTBD tube in daily life included the changes of self-care ability in daily life, intensification or absence of a patient's role; worrying about prolapse and infection of the tube; disordered self-image and social phobia; different degrees of physical discomfort and negative emotion with psychological pressure; hoping improvement of the drainage bag and fixed materials and way; hoping more convenient way of dressing, etc. Conclusion The post-discharge patients carrying a PTBD tube live in different levels of stress. The medical staff should carry out targeted health education and extension care to help them and make research to improve equipment, so as to improve self-care ability, reduce complications as well as psychological pressure, thus, to improve the quality of life.
