延续护理在T管带管出院患者中应用.docVIP

延续护理在T管带管出院患者中应用 　　【摘要】 目的：将延续护理应用于T管带管出院患者，探讨其对患者出院期间T管的护理技能和脱管率的影响。方法：选择本院2015年1月-2016年12月带T管出院的患者120例，随机分为对照组和试验组，每组各60例。对照组用出院指导、电话求助的方法，试验组在对照组的基础上应用家庭访视、微信、QQ、电话随访等延续护理的方法。结果：试验组脱管、感染、管道堵塞发生率均低于对照组以及满意度高于对照组，比较差异均有统计学意义（P0.05）。结论：延续护理在患者带T管出院期间的应用能减少脱管、感染、管道堵塞等并发症发生率，提高患者对T管的护理技能，提高了医疗护理服务质量和患者满意度。 　　【关键词】 延续护理； T管； 带管出院； 健康教育 　　【Abstract】 Objective：To continue nursing applied to the T tube with tube discharged patients，to explore the patients discharged from hospital during the T tube nursing skills and tube removal rate.Method：From January 2015 to December 2016，120 patients with T tube discharged were selected as the research objects，they were randomly divided into control group and experimental group，60 cases in each group.The control group used the method of discharge guidance，call for help.The experimental group in the control group based on the application of family visits，micro letter，QQ，telephone follow-up continue nursing method.Result：The experiment group off the tube，infection，pipeline blockage rate was lower than that of the control group and the satisfaction were higher than those of the control group，the difference were statistically significant（P0.05）.Conclusion：The continue nursing in patients with application of T tube discharge during the discharge period can reduce the incidence of complications such as dehydration，infection，pipe blockage，improve the nursing skills of patients with T tube，improve the quality of medical care service and patient satisfaction. 　　【Key words】 Continuity of care； T tube； Discharge with tube； Health education 　　First-author’s address：Tongji Hospital Affiliated to Tongji Medical College Huazhong University of Science and Technology，Wuhan 430030，China 　　doi：10.3969/j.issn.1674-4985.2017.25.020 　　T管引流术是行胆总管手术时所需实施的一种引流方法，T管是引流胆汁、消除胆道感染、支撑胆道、预防胆道狭窄、防止胆道切口渗漏以及冲洗胆道及残留结石引出或取出的重要通道[1]。常规术后14～16 d拔管，适当延长留置时间可以降低胆漏发生率[2]。随着T管留置时间延长，大部分患者需要带T管出院一段时间后，再来医院行T管造影、拔管、胆道镜探查、取石等。胆道镜取石术是经T管瘘管用纤维胆道镜取石，是避免二次手术的一种取石方法。此术不用麻醉，先拔