延续护理降低终身带胆道引流管患者感染率的效果分析

Analysis of the effect of continuous nursing in reducing the infection rate of patients with lifelong biliary drainage tube

目的分析延续护理对降低终身带胆道引流管患者感染率的应用效果。方法随机双盲法将80例终身带胆道引流管患者分为对照组与观察组，各40例，对照组采取常规护理，观察组则行延续护理，比较两组护理干预前后焦虑评分、知识掌握程度、遵医行为及并发症情况。结果观察组干预后SAS评分、知识掌握评分分别为（46．1±3．5）分、（89．7±10．8）分，较对照组的（50．7±3．8）分、（72．6±11．4）分差异有统计学意义（P〈0．001）。观察组患者遵医行为明显高于对照组（P〈0．05）。观察组导管脱落、导管堵塞、皮肤感染及腹腔感染发生率分别为2．5％、2．5％、0．0％、2．5％，均明显低于对照组的15．0％、25．0％、12．5％、17．5％，差异有统计学意义（P〈0．05）。结论延续护理能明显缓解终身带胆道引流管患者焦虑症状，显著提高其知识掌握程度及遵医行为，进而明显降低皮肤感染、腹腔感染等并发症。

Objective To analyze the application effect of continuous nursing in reducing the infection rate of patients with lifelong biliary drainage tube. Methods According to the random and double blind method, 80 patients with lifelong biliary drainage tube were randomly divided into the control group and the observation group, with 40 cases in each group. The control group was treated with routine nursing, while the observation group was treated with continuous nursing. The anxiety score, the mastery degree of knowledge, treatment compliance and complications before and after nursing intervention were compared between the two groups. Results The scores of SAS and mastery of knowledge of the observation group after intervention were （46. 1 ± 3.5 ） and （ 89.7 ± 10. 8 ） points respectively, compared with （50. 7±3.8） and （72. 6±11.4） points of the control group, the differences were statistically significant （P〈0. 001 ） . The treatment compliance of the patients in the observation group was significantly higher than that of the control group （P〈0. 05） . The incidence rates of catheter shedding, catheter blockage, skin infection and abdominal infection were 2. 5% , 2. 5% , 0% and 2.5% respectively, which were significantly lower than 15.0% , 25.0% , 12. 5% and 17.5% of the control group, and the differences were statistically significant （P〈0.05） . Conclusions Continuous nursing can significantly relieve the anxiety symptoms of patients with lifelong biliary drainage tube and improve their knowledge mastery level and treatment compliance, thereby significantly reduce the skin infection, abdominal infection and other complications.