个性化护理在恶性梗阻性黄疸患者口服胆汁治疗中的应用效果

Effect of Personalized Nursing Intervention on the Treatment of Patients with Malignant Obstructive Jaundice

目的探讨个性化护理干预在恶性梗阻性黄疸患者口服胆汁治疗中的应用效果。方法 2015年11月至2017年2月,便利抽样法选取海军军医大学附属东方肝胆外科医院胆道三科收治入院拟行手术治疗的恶性梗阻性黄疸患者30例为研究对象,所有患者均经皮肝胆管引流术(percutaneous transhepatic cholangial drainage,PTCD)联合口服胆汁治疗。按入院先后将其分为对照组和观察组,每组15例。对照组患者行常规护理和健康指导,观察组患者给予个性化护理干预。观察两组患者口服胆汁的依从性和术前减黄时间。结果观察组患者口服胆汁治疗依从性高于对照组,差异有统计学意义(P=0.032)。观察组术前减黄时间为(8.5±1.56)d,而对照组为(13.4±2.43)d,差异有统计学意义(P=0.002)。结论个性化护理干预可显著提高恶性梗阻性黄疸患者术前行PTCD联合口服胆汁治疗的依从性,在术前减黄治疗中起促进作用,为下一步手术治疗争取宝贵时间,是恶性梗阻性黄疸患者术前治疗的一项有益举措。

Objective To investigate the effect of personalized nursing intervention on treatment of patients with malignant obstructive jaundice using percutaneous transhepatic cholangial drainage（PTCD）combined with oral bile.Methods By convenience sampling,30 patients with malignant obstructive jaundice were selected in our hospital from November 2015 to February 2017,and were randomly divided into control group and observation group,with 15 cases in each group.The control group received routine nursing and health guidance,while the observation group was given personalized care intervention.The compliance of oral bile and the time required to relieve jaundice before surgery were compared between the two groups.Results The compliance of oral bile was significantly higher in the observation group than in the control group（P=0.032）.The time interval required to relieve jaundice before surgery was（8.5±1.56）d in observation group and（13.4±2.43）d in control group（P=0.002）.Conclusions Individualized nursing intervention can significantly improve the compliance of PTCD combined with oral bile and promote the effect of preoperative treatment of jaundice in patients with malignant obstructive jaundice.