綜合護理干預對經皮肝穿刺引流術治療膽管癌并發癥的影響

任威穎++尹大龍

[摘要] 目的 探討與分析綜合護理干預對經皮肝穿刺引流術治療膽管癌并發癥的影響。 方法 選取哈爾濱醫科大學附屬第一醫院2015年4月～2017年4月接受經皮肝穿刺引流術治療的膽管癌患者90例，采取隨機數字表法分為對照組與觀察組，每組各45例。對照組給予常規護理，觀察組在對照組基礎上給予綜合護理干預，兩組均連續護理2個月，比較兩組患者并發癥發生率、護理滿意度及生存質量。 結果 觀察組感染、腹腔內出血、惡心嘔吐、膽漏、休克發生率均低于對照組，差異有統計學意義（P < 0.05）。觀察組護理滿意度明顯高于對照組，差異有統計學意義（P < 0.05）。護理后兩組患者軀體功能、角色功能、認知功能、情緒功能及社會功能評分均高于護理前，觀察組上述評分升高更加顯著，差異均有統計學意義（均P < 0.05）。 結論 綜合護理干預可降低經皮肝穿刺引流術治療膽管癌患者的并發癥發生率，提高護理滿意度，改善生存質量。

[關鍵詞] 綜合護理干預；經皮肝穿刺引流術；膽管癌；并發癥

[中圖分類號] R473 [文獻標識碼] A [文章編號] 1673-7210（2017）11（a）-0157-04

The effect of comprehensive nursing intervention on complications of percutaneous liver puncture drainage in the treatment of biliary carcinoma

REN Weiying YIN Dalong▲

Department of Liver Surgery， the First Affiliated Hospital of Harbin Medical University， Heilongjiang Province， Harbin 150001， China

[Abstract] Objective to explore and analyze the effect of comprehensive nursing intervention on complications of percutaneous liver puncture drainage in the treatment of biliary carcinoma. Methods Ninety cases of patients with biliary carcinoma underwent percutaneous liver puncture drainage from April 2015 to April 2017 in the First Affiliated Hospital of Harbin Medical University were selected and divided into the control group and the observation group by random number table， with 45 cases in each group. The control group was given routine nursing care and the observation group was given comprehensive nursing intervention. Each group was given continuous nursing for 2 months. The complication rate， nursing satisfaction and the quality of life were compared between the two groups. Results The rates of infection， abdominal bleeding， nausea and vomiting， bile leakage and shock in the observation group were lower than those of control group， with statistically significant differences（P < 0.05）. The nursing satisfaction in the observation group was higher than that of control group， with statistically significant difference（P < 0.05）. After nursing， the scores of physical function， role function， cognitive function， emotional function and social function in the two groups were all higher than those of before nursing， and the indicators above in the observation group increased more remarkablely， with statistically significant difference （all P < 0.05）. Conclusion Comprehensive nursing intervention in patients with bile duct carcinoma underwent percutaneous liver puncture drainage can reduce the complication rate， improve nursing satisfaction and promote the quality of life.endprint