Construction of the evidence-based discharge preparation service plan for patients after receiving percutaneous transhepatic biliary drainage
10.3969/j.issn.1008-794X.2025.03.017
- VernacularTitle:基于循证构建经皮肝穿刺胆道引流术术后患者出院准备服务方案
- Author:
Yulian LI
1
;
Yuhui LI
;
Wei MO
;
Huanhuan LIU
;
Qin LI
Author Information
1. 410005 湖南长沙 湖南省人民医院(湖南师范大学附属第一医院)
- Keywords:
percutaneous transhepatic biliary drainage;
discharge preparation service;
evidence-based nursing;
Delphi method
- From:
Journal of Interventional Radiology
2025;34(3):316-321
- CountryChina
- Language:Chinese
-
Abstract:
Objective To construct an evidence-based discharge preparation service plan for patients after receiving percutaneous transhepatic biliary drainage(PTBD)so as to provide a theoretical reference basis for improving the quality of discharge nursing service.Methods A computerized retrieval of academic papers concerning the discharge preparation service plan for patients after receiving PTBD was conducted.The quality of the included literature was evaluated and the evidences were summarized.According to the clinical actual requirements,the first draft of discharge preparation service for patients after receiving PTBD was formed.Using Delphi method,two rounds of letter inquiries were conducted in 17 experts to determine the final version.Results In the first round of expert consultation,17 questionnaires were distributed and 15 questionnaires were recovered;and in the second round of expert consultation,15 questionnaires were distributed and 15 questionnaires were recovered.In the first round of expert correspondence,11 experts made suggestions for modification,and in the second round of expert correspondence,4 experts made suggestions,indicating that the experts were more motivated to participate in the research.The coefficient of expert consultation judgment(Ca)was 0.90,the degree of familiarity(Cs)was 0.91,the coefficient of authority(Cr)was 0.91,and the Kendall's w for round 1 and round 2 were 0.363 and 0.368 respectively.The final discharge preparation service scheme consisted of 13 items at six different time points from patient admission to after discharge.Conclusion The established discharge preparation service plan for patients after receiving PTBD is scientific and reliable,which can provide theoretical basis for patients'discharge service.
