摘要
目的:总结对老年急性化脓性胆囊炎患者实施经皮经肝胆囊穿刺置管引流治疗过程中的护理要点。方法:随机选取2013年5月-2014年3月期间我院25例老年急性化脓性胆囊炎患者作为对照组,此时间段院内尚未全面推行优质护理服务,护士仅为患者提供常规院内护理流程;随机选取2014年5月-2015年5月期间25例老年急性化脓性胆囊炎患者作为干预组,护士为患者提供围手术期优质护理干预。两组患者均接受临床手术治疗,术式为经皮经肝胆囊穿刺置管引流术,观察两组患者术后恢复及患者对于临床护理服务质量评价。结果:对照组25例患者中,2例(8%)患者存在术后穿刺部位出血、胆汁外漏情况;有1例(4%)患者出现感染早期征象,经过临床及时用药与冲洗后,症状改善,患者无脱管情况发生;干预组患者均穿刺成功,术后无一例患者出现并发症表现,引流顺畅,手术成功;对照组患者对于术后引流管护理、健康宣教、护患交流、并发症预防等方面评分较低,干预组较高,P<0.05。结论:针对急性化脓性胆囊炎接受手术患者,采取一系列优质护理服务能够促进患者恢复健康,大部分患者术后恢复情况较好,并发症情况发生较少,且对临床服务评价较高。
Objective： To sum up the nursing points in the treatment of elderly patients with acute suppurative cholecystitis by percuteaneous transhepatic gallbladder drainage （PTGBD）.Methods：25 cases of elderly patients with acute suppurative cholecystitis admitted to our hospital from May,2013 to March,2014 were randomly selected as the control group, our hospital had not yet fully implemented quality care services this period of time, nurses provided patients with routine hospital care process, 25 eases of elderly patients with acute suppurative eholecystitis admitted to our hospital from May,2014 to May,2015 were randomly selected as the intervention group, nurses provided patients with perioperative quality nursing intervention, the two-group patients both received clinical surgical treatment, the operative method was PTGBD,observed the postoperative recovery of the two-group patients and patients＇ evaluation for clinical nursing service quality.Results：In the control group, there were 2 cases （8%）in 25 patients with puncture site bleeding and bile leakage after operation;There was 1 ease（4%）of patients with early signs of infection,the symptoms improved after clinical medication and irrigation in time, no patients were removed from the tube. Patients in the intervention group were all successful in puncture, no patient had complications after operation, the drainage was smooth,and the operation was successful,The control-group patients＇ scores in postoperative drainage tube care, health education, nurse-patient communication, prevention of complications were lower than those of the intervention group,P〈0.05.Conclusion：For acute suppurative cholecystitis patients undergoing surgery, to take a series of high quality nursing service can promote the recovery of patients, most patients recovered well after surgery, the incidence of complications was less and the evaluation for clinical services was higher.
出处
《农垦医学》
2017年第4期359-362,共4页
Journal of Nongken Medicine
关键词
胆囊炎
引流
护理干预
并发症
Cholecystitis
Drainage
Nursing intervention
Complication
