摘要
目的探讨恶性胆管梗阻内照射支架植入术后相关护理的辅助价值。方法 12例临床诊断明确的恶性胆管梗阻患者,在进行内照射支架植入术前及术后实施心理护理、饮食护理、穿刺点护理、并发症的观察与护理等方法,确保手术顺利进行及术后患者尽早康复。结果所有患者术前心态平和;对6例由于缺乏疾病认知而存在紧张焦虑心理的患者采取相应的护理方案,确保了手术顺利进行。对于术后出现的呕吐、发热的患者采取呕吐姿势指导、心理护理,所有患者均未出现感染、胆管穿孔等严重并发症。结论对于行胆管内照射支架置入的患者,细致的术前心理护理,有效的术后护理对减少并发症、保证手术成功及缩短住院时间具有重要的作用。
Objective To discuss the supplementary value of perioperative nursing care for patients with malignant bile duct obstruction after intraluminal irradiation stent implantation. Methods Twelve patients of clinically-proved malignant bile duct obstruction were treated with intraluminal irra-diation stent implantation. During perioperative period the psychological, dietary and puncturing site nursing cares were carefully carried out, and the occurrence of complications was under close observation. The purpose of these measures was to ensure that the operation could be successfully accomplished and the patients could recover from the illness as early as possible. Results Before the operation all patients could keep a gentle mentality. For six nervous and anxiety patients due to lack of knowledge of the disease, the corresponding nursing measures were employed in order to relieve their anxiety emotion and to ensure a smooth surgery. Postoperative vomiting and fever occurred in some patients, and the patients were asked to take proper posture to relieve the vomiting. No severe complications such as infection or biliary perforation occurred. Conclusion For patients who receive biliary intraluminal irradiation stent implantation for malignant bile duct obstruction, careful preoperative psychological nursing and effective postoperative nursing measures are of great value in reducing the incidence of complications, in ensuring a successful operation and in shortening the hospitalization days. （J Intervent Radiol, 2012, 21： 787-789）
出处
《介入放射学杂志》
CSCD
北大核心
2012年第9期787-789,共3页
Journal of Interventional Radiology
基金
江苏省卫生厅医学科技发展基金资助课题(课题编号:H200937)
