舒適護理在內(nèi)鏡逆行胰膽管造影術(shù)中的應(yīng)用

李惠香 溫秋云 王巧珍

[摘要] 目的 探討舒適護理應(yīng)用于內(nèi)鏡下逆行胰膽管造影術(shù)(ERCP)患者的效果。方法 將180例ERCP術(shù)患者隨機分為對照組和實驗組,對照組給予常規(guī)護理,實驗組針對患者個體需求的差異,實施術(shù)前、術(shù)中、術(shù)后舒適護理干預(yù),并與對照組進行比較。結(jié)果 舒適護理在ERCP術(shù)中的正確應(yīng)用有利于患者以最佳的身心狀態(tài)配合手術(shù),提高患者對手術(shù)的依從性和成功率,與對照組比較,差異有顯著性(P<0.05)。結(jié)論 護理是ERCP的重要組成部分,舒適護理為ERCP及相關(guān)治療的安全性和防治并發(fā)癥提供有力保障,預(yù)防和減少了術(shù)后并發(fā)癥,提高了護理質(zhì)量和滿意度。

[關(guān)鍵詞] 十二指腸鏡;胰膽管造影;舒適護理

[中圖分類號] R473.6[文獻標(biāo)識碼] A[文章編號] 1004-8650(2009)05-075-02

The Application of Comfortable Nursing on Endoscopic Retrograde Cholangiopancreatography

LI Hui-xiang,WEN Qiu-yun,WANG Qiao-zhen

(Central People's Hospital of Huizhou, Guangdong, 516001)

[Abstract] Objective To discuss the effect of comfortable nursing on endoscopic retrograde cholangiopancreatography (ERCP). Methods 180 cases were randomly divided into control group and experimental group. Control group were given conventional nursing, while experimental group was given comfortable nursing before, during and after operation, the results was compared with control group. Results The correct application of comfortable nursing is beneficial to patients' physical and mental statuses, and thus can improve the successful rate of operation. The difference of two groups was significant (P<0.05). Conclusion Nursing is an important part of ERCP. Comfortable nursing can provide strong guarantee for the safety of treatment, prevent and reduce complications after operation, and enhance nursing quality and satisfactory degree.

[Key words] Duodenoscopy; Imaging cholangiopancreatography; Comfortable nursing

經(jīng)十二指腸鏡逆行胰膽管造影(ERCP)術(shù)是一種診斷和治療胰膽疾病的有效方法。隨著內(nèi)鏡的改進,插管技術(shù)及造影成功率的提高,對胰膽疾病及十二指腸疾病的正確診斷發(fā)揮了重要作用[1],因此舒適護理在ERCP術(shù)前、術(shù)中、術(shù)后亦顯得十分重要。我院將舒適護理運用于ERCP術(shù)患者的全過程中,經(jīng)精心、舒適護理,效果滿意,現(xiàn)報告如下。

1資料與方法

1.1臨床資料

自2006年1月-2008年12月行ERCP術(shù)180例,其中男101例,女79例,年齡17-86歲,平均年齡42歲,其中膽總管結(jié)石118例,合并膽囊結(jié)石38例,合并急性化膿性膽管炎15例,膽源性胰腺炎28例,膽管癌12例,胰頭癌12例,狹窄性乳頭炎6例,膽總管囊腫合并膽管炎2例,肝癌合并膽道出血1例,膽總管T管引流術(shù)后膽漏1例。

1.2方法

兩組病例均采用常規(guī)治療與護理,實驗組針對患者的特點,根據(jù)ERCP術(shù)前、術(shù)中、術(shù)后所致不適因素進行舒適護理。

2護理

2.1術(shù)前舒適護理

2.1.1心理護理十二指腸乳頭平滑肌的松弛與否直接影響到ERCP及相關(guān)治療的成功率,而病人的精神狀態(tài)、情緒對施術(shù)者的依賴在很大程度上影響到十二指腸平滑肌的活動度。……