预见性护理在ERCP及其治疗术后护理中的应用效果观察.docVIP

精品论文 参考文献 预见性护理在ERCP及其治疗术后护理中的应用效果观察 　徐月芬 薛祥龙 　　（丹阳市人民医院消化科 212300） 　　 　　【摘 要】目的：探讨预见性护理在ERCP（内镜下胰胆造影术）中的应用效果及其对并发症的改善情况。方法：以我院消化内科收治的60例行ERCP术的患者为研究对象，采用分组对比的方式，将其根据护理方式的不同分为对照组与观察组，对照组给予临床常规护理，观察组在对照组的基础上给予预见性护理，对比分析两组患者的住院时间、术后并发症的发生情况以及术后生存质量等。结果：观察组并发症为16.7%，明显低于对照组患者的46.7%，p＜0.05；观察组住院时间、生存质量优于对照组，p＜0.05，差异显著。结论：预见性护理在ERCP中的应用效果较好，可以有效减少ERCP术后并发症的发生情况，缩短住院时间，提高患者的生存质量，具有较高的应用价值，值得推广。 　　【关键词】预见性护理；内镜下胰胆造影术；并发症 　　【中图分类号】R47 【文献标识码】B 【文章编号】1003-5028（2015）8-0778-02 　　Predictive nursing in ERCP and its application 　　effect in treatment of postoperative nursing observation 　　【Abstract】Purpose：Discuss the application effect of predictive nursing in ERCP and its improvement on complications.Methods：In our digestive internal medicine treated 60 patients underwent ERCP operation as the research object, with the method of grouping contrast, its according to the different methods of nursing care can be divided into control group and observation group, control group given routine nursing care, clinical observation group in the control group given on the basis of predictive nursing care, compared two groups of patients length of hospital stay, postoperative complications and postoperative quality of life, etc.Results：Complications was 16.7%, the observation group was obviously lower than the control group in patients with 46.7%, p lt; 0.05; Observation group length of hospital stay, quality of life is better than that of control group, p lt; 0.05, significant difference. Conclusion：Predictive nursing in ERCP application effect is good, can effectively reduce the ERCP the occurrence of postoperative complications, shorten hospitalization time, improve the patients quality of life, has higher application value and is worth promoting. 　　【Key words】Predictive nursing; ERCP; complications 　　内镜下胰胆造影术常用于肝胆胰疾病的诊治，因其具有创伤小、疼痛轻、术后可促使患者尽快康复的优势而被广泛的应用于临床中[1]。但近年来有研究表明，内镜下胰胆造影术后常会导致一系列并发症的发生，如急性胰腺炎、消化道出血、胆道感染等，不仅给患者带来了极大的痛苦，延缓其康复进程，而且部分患者还需要二次手术治疗[2]。预见性护理可以有效减少术后并发症的发生，其护理效果