摘要
目的探讨舒适护理在经颈静脉肝内门腔静脉分流术(TIPS)中的应用效果。方法选取2017年1～12月在湖南省人民医院介入复合手术部行TIPS治疗的患者77例,按随机数字表法将其分为两组,对照组38例采取常规护理措施,舒适组39例在实施常规护理措施的基础上联合舒适护理。比较两组护理措施实施后患者的生活质量、术中配合度、并发症发生情况及护理满意度。结果干预后,两组各项生活质量评分均较干预前提升,且舒适组高于对照组,差异均有统计学意义(P <0.05)。舒适组患者的配合度高于对照组,差异有统计学意义(P <0.05)。舒适组术中和术后腹腔内出血、术后发热、手术穿刺部位并发症发生率均低于对照组,差异均有高度统计学意义(P <0.01)。舒适组患者的总满意度高于对照组,差异有统计学意义(P <0.05)。结论在TIPS中实施舒适护理能减轻患者心理压力,改善整体生活质量,提高患者的术中配合度和满意度,降低并发症发生率,保证手术顺利进行,可在临床中推广。
Objective To explore the application effect of comfortable nursing in transjugular intrahepatic portosystemic shunt(TIPS).Methods A total of 77 cases of patients treated with TIPS in Department of Interventional Complex Surgery,Hu′nan Provincial People′s Hospital from January to December 2017 were selected,and they were divided into two groups according to random number table method,38 cases in the control group were given conventional nursing,39 cases in the comfortable group were given comfortable nursing on the basis of nursing in the control group.The quality of life,intraoperative coordination,complications and nursing satisfaction of the patients of the two groups were compared before and after performing nursing.Results After intervention,the scores of life quality of both groups improved compared to that before intervention,and the comfortable group was higher than the control group,the differences were statistically significant(P<0.05).The coordination degree of the comfortable group was significantly higher than that in the control group,and the difference was statistically significant(P<0.05).The rate of abdominal hemorrhage during and after operation,postoperative fever and operative puncture site complications in the comfortable group were lower than those in the control group,the differences were highly statistically significant(P<0.01).The total satisfactory rate of patients in the comfortable group was higher than that in the control group,the difference was statistically significant(P<0.05).Conclusion Comfortable nursing in TIPS can effectively decrease psychological pressure,improve the overall quality of life,improve the patient′s intraoperative cooperation degree and satisfaction,reduce the incidence of complications and ensure the operation smoothly,which is worthy of application in clinic.
作者
何喜美
HE Ximei(Department of Interventional Complex Surgery,Hu′nan Provincial People′s Hospital,Hu′nan Province,Changsha 410005,China)
出处
《中国医药导报》
CAS
2019年第1期174-177,共4页
China Medical Herald
关键词
舒适护理
经颈静脉肝内门腔静脉分流术
效果
配合度
总满意度
生活质量
Comfortable nursing
Transjugular intrahepatic portosystemic shunt
Effect
Cooperation degree
Total satisfactory degree
Quality of life
