中西医结合护理 (Jun 2022)
Effect observation of standardized nursing intervention after transjugular intrahepatic portosystemic shunt (经颈静脉肝内门体静脉分流术后规范化护理效果观察)
Abstract
Objective To investigate the effect of standardized nursing intervention after transjugular intrahepatic portosystemic shunt (TIPS). Methods Totally 66 patients undergoing TIPS for liver cirrhosis were randomly divided into the observation group and the control group, with 33 cases in each group. Patients in both control and observation groups received routine care after surgery, and those in the observation group were given standardized nursing interventions. The patient’s quality of life was evaluated by 36-item short-form (SF-36) questionnaire. The incidence of postoperative complications and rate of satisfaction with postoperative nursing were compared between groups. Results The scores of Social Function, Physical Function, Mental Health Status and General Health dimension in the observation group were higher than those in the control group after treatment (P＜0. 01) . The incidence of postoperative complications such as pyrexia, abdominal bleeding, hepatic encephalopathy and development of thrombus was lower in the observation group than that in the control group, but with no significant difference (P＞0. 05). The satisfaction rate was 90. 91%(30/31)in the observation group, which was higher than 72. 73%(24/33) in the control group (P＜0. 05). Conclusion The standardized nursing intervention is potentially effective to reduce the risk of postoperative complications and improve the quality of life after TIPS. (目的 探讨经颈静脉肝内门体静脉分流(TIPS)术后规范化护理措施的实施效果。方法 选取2021年1月—12月医院收治的66例肝硬化门静脉高压症患者为研究对象, 随机分为观察组和对照组, 各33例。对照组采用常规护理, 并及时对患者反馈的信息进行记录; 观察组在对照组基础上实施规范化护理干预。对比两组患者生活质量和并发症发生情况, 评估患者满意度。结果 观察组患者SF-36量表社会功能、生理功能、精神状况和总体健康维度评分均高于对照组, 差异有统计学意义(P＜0. 01)。观察组术后发热、术后腹腔内出血、肝性脑病、血栓形成的发生均低于对照组, 但差异无统计学意义(P＞0. 05)。观察组护理满意度90. 91%(30/31), 高于对照组的 72. 73%(24/33), 差异有统计学意义(P＜0. 05)。结论 TIPS术后规范化护理措施能减少并发症的发生风险, 进一步提高患者的生活质量。)
Keywords
