ERCP联合胆道镜治疗胆胰疾病的护理体会

Nursing Experience of ERCP Combined With Cholangioscopy in the Treatment of Biliopancreatic Diseases

目的探讨经内镜逆行性胰胆管造影(endoscopic retrograde cholangio pancreatography,ERCP)联合胆道镜在胆胰疾病中的护理体会。方法回顾性分析2019年5月—2023年12月福州市第一总医院采取ERCP联合胆道镜诊治的25例胆胰疾病患者。术前对患者做好心理护理,术后密切观察病情并做好患者并发症及钬激光碎石相关并发症的护理,对护理结果进行分析。结果(1)经过护理,患者的各项生活质量评分较护理前显著提升(P<0.05)。(2)患者并发症发生率为4%,经干预后显著好转。(3)患者干预后焦虑自评量表(self-rating anxiety scale,SAS)评分和抑郁自评量表(self-rating depression scale,SDS)评分均降低,干预前患者SAS评分为(64.25±8.20)分,干预后为(43.82±5.10)分,差异有统计学意义(P<0.001);干预前患者SDS评分为(65.50±7.23)分,干预后为(49.59±8.96)分,差异有统计学意义(P<0.001)。结论在肝胆胰疾病的诊治中ERCP联合胆道镜是其重要的诊治手段之一,做好术前评估、术中配合及术后并发症观察及护理是必要的,对接受治疗的患者实施针对性护理干预能够有效改善临床指标、提升患者生活质量,促使患者尽快康复。

Objective To explore the nursing experience of ERCP combined with cholangioscopy in biliopancreatic diseases.Methods A total of 25 patients with biliary and pancreatic diseases who took ERCP combined with cholangioscopy in Fuzhou First General Hospital from May 2019 to March 2023 were retrospective analyzed.Patients before surgery were provided psychological care,closely monitor their condition after surgery,and taked care of patient complications and holmium laser lithotripsy related complications.The results of nursing care were analyzed.Results(1)After care,the patients'scores on all quality of life scores were significantly improved compared with the pre-care period(P<0.05).(2)The complication rate of the patients was 4%,which was significantly improved by the intervention.(3)After intervention,both self-rating anxiety scale(SAS)and self-rating depression scale(SDS)scores of the patients decreased.The SAS score of the patients before intervention was(64.25±8.20)points,and after intervention it was(43.82±5.10)points,with a statistically significant difference(P<0.001).The SDS score of patients before intervention was(65.50±7.23)points,and after intervention it was(49.59±8.96)points,with a statistically significant difference(P<0.001).Conclusion In the diagnosis and treatment of hepatobiliary and pancreatic diseases,ERCP combined with cholangioscopy is one of the important diagnostic and treatment means,and it is necessary to do a good job in preoperative evaluation,intraoperative cooperation and postoperative complications observation and care.And the implementation of targeted nursing interventions on the patients undergoing treatment can effectively improve the clinical indexes,enhance the quality of life of the patients,and promote the recovery of the patients as soon as possible,and it can be applied for promotion.