T管出口预定位对携管出院患者自我维护能力的影响

The Effect of T-tube Pre-localization on Self-maintenance in Hepatolithiasis Patients

目的探讨T管出口预定位对携管出院患者自我维护能力的影响。方法采用随机数字表法将符合纳入标准的65例患者分为对照组32例和研究组33例。对照组T管出口位置由手术医师在术中确定;试验组T管出口位置由责任组长、手术医生和患者三方共同参与确定,术前1天进行预定位,术中手术医师参考预定位位置,确定出口位置。术后2个月,以自我护理能力测定量表(ESCA)和T管护理知识问卷为测评工具,评价T管出口预定位对携管出院患者自我护理能力和护理知识的影响。结果研究组T管自我维护比例(78.8%)明显高于对照组(15.6%),差异有统计学意义(P<0.001)。研究组自我维护能力测定总分(153.8±4.1)明显高于对照组(112.3±3.6),差异有统计学意义(P<0.001);研究组T管自我护理知识均分(18.8±2.1)显著高于对照组(10.3±3.5),差异有统计学意义(P<0.001)。结论T管出口术前预定位,有利于携管出院患者实施自我维护,可提高其自我护理能力,具有较好的临床应用价值。

Objective To explore the methods and effects of T-tube Pre-localization in Patients with Hepatolithiasis.Methods A total of 65 patients who had the operation were recruited by convenience sampling method.The control group included 32 patients,and the T-tube exit position was determined by surgery doctors.The intervention group included 33 patients,and the T-tube exit position was determined by surgery doctors,nurses and patients.Surgeons reference the preoperative location decision T-tube exit position.The ESCA scores and Selfcare knowledge questionnaire scores were compared between the two groups.Results The ratio of selfmaintenance in the intervention group was higher than the control group(2=14.49,P<0.001).The ESCA scores and Self-care knowledge questionnaire scores of the intervention group were higher than the control group(P<0.001).Conclusions T-tube pre-localization is beneficial for patients'self-maintenance and improves their selfcare abilities.It has good clinical application value.