Evidence-based practice of discharge preparation service for patients after receiving percutaneous transhepatic biliary drainage
10.3969/j.issn.1008-794X.2025.06.016
- VernacularTitle:经皮肝穿刺胆道引流术后患者出院准备服务的循证实践
- Author:
Yuhui LI
1
;
Yulian LI
;
Wei MO
;
Huanhuan LIU
;
Qin LI
;
Shan XU
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)介入血管外科
- Keywords:
percutaneous liver puncture biliary drainage;
discharge preparation services;
evidence-based practice
- From:
Journal of Interventional Radiology
2025;34(6):650-655
- CountryChina
- Language:Chinese
-
Abstract:
Objective Based on the best evidences to establish the practice plan of discharge preparation service for patients after receiving percutaneous transhepatic biliary drainage(PTBD),and to assess its clinical application value.Methods According to the PIPOST principle the clinical questions were proposed,the best evidences of discharge preparation service for patients after receiving PTBD were retrieved and summarized.The review indicators and review methods were formulated.The baseline review was carried out,the facilitators and barrier factors were analyzed,the change strategies were developed,the clinical transforms were implemented,and the patient outcomes were evaluated.Results After application of the evidences,the implementation of the review indicators of discharge preparation services after PTBD was improved.After discharge,the incidence of catheter complications(including catheter falling-off and puncture site skin infection)was decreased,and the difference was statistically significant(P＜0.05).There were no statistically significant differences in the incidences of tube obstruction and fluid extravasation.Conclusion The evidence-based practice of discharge preparation service for patients after receiving PTBD is helpful for improving the self-care ability of patients after discharge,reducing the incidence of tubular complications and improving the clinical outcome of patients.
