经颈静脉肝内门体静脉分流术术后患者延续护理服务需求影响因素调查分析

Status and influencing factors of transitional nursing needs of patients with transjugular intrahepatic portosystemic shunt

目的：调查经颈静脉肝内门体静脉分流术（TIPS）术后患者出院后延续护理服务需求状况，并探讨其影响因素。方法选取54例TIPS术后患者为研究对象，采用自行设计的问卷，调查其延续护理服务需求状况，分析影响因素。结果 TIPS术后患者的延续护理服务需求整体较高，得分为（4.53±0.48）分。多重回归分析显示：年龄、术后肝功能、术后血氨变化情况是TIPS术后患者延续护理服务需求的重要影响因素，P＜0.05。结论 TIPS术后患者延续护理需求较迫切，在TIPS术后患者的随访与指导过程中应重点关注年龄较小、术后肝功能较差、术后血氨变化值较大的患者，重点指导低蛋白饮食以及并发症的预防。

Objective To focus on the transitional nursing needs and its influencing factors of patients accepted transjugular intrahepatic portosystemic shunt (TIPS). Methods The study was conducted with a self-designed questionnaire involving 54 patients accepted TIPS. Also, in-depth semi-structured interviews were conducted among 10 patients. Results The total score of transitional nursing needs among patients accepted TIPS was (4.53 ± 0.48) points, which was in the relatively high lever. The multiple linear regression analysis showed that age, hepatic function and levels of venous ammonia were influence factors of transitional nursing needs among patients accepted TIPS (P<0.05). Conclusions The transitional nursing needs of patients accepted TIPS is urgent. Postoperative transitional nursing should be focused on younger, poor hepatic function and venous ammonia big change among patients accepted TIPS. Low-protein diet and the prevention of complications should be taken priority over all others.