循证护理在术后胆道镜中的应用

The clinical application of evidence-based nursing in the biliary microscopy after operation

目的:探讨用循证护理方法解决术后胆道镜常见问题的护理对策及效果。方法:将循证护理实践应用于术后胆道镜患者,解决患者发热、窦道穿孔、胆汁性腹膜炎、胆管出血、恶心、呕吐、腹泻、导管脱出等问题。结果:78例术后胆道镜患者,12例出现腹泻症状,8例轻度恶心、呕吐,7例出现发热,3例引流管脱出,2例轻度胆管出血,无窦道穿孔、胆汁性腹膜炎等严重并发症发生。通过循证护理应用得到及时、得当的护理,全部康复出院。结论:将循证护理应用于术后胆道镜患者,不仅可提高护理质量,有利于患者康复,而且可以丰富护理人员的经验。

Objective：To explore the effect of used evidence-based approach to observe the common problems.Methods：Through the method of evidence-based nursing practice,patients with biliary microscopy were solved fever,sinus perforation or bile peritonitis,bile duct bleeding,nausea,vomiting,diarrhea,catheter extrusion and other issues.Results：78 patients with postoperative cholangioscopy had no sinus perforation,biliary peritonitis.Drainage tube prolapse happened in 3 cases,slight nausea,vomiting happened in 8 cases of and diarrhea happened in 12 cases,2 patients happened bile duct slight hemorrhage.Through the application of evidence-based nursing,7 cases of fever got timely and appropriate nursing interventions and all cases recovered and were discharged satisfactory.Conclusions：Evidence-based nursing was the base of clinical nursing.It is not only improve the quality of care benefit to patients,but also got nursing knowledge.