个体化护理干预对胆汁回输患者生活质量的影响研究

目的 探讨个体化护理干预对胆汁回输患者生活质量的影响。方法 将44例PTBD置管患者分为干预组22例,观察组22例；于置管前、置管后4天对两组患者的肝功能与电解质指标变化情况进行比较；采用个体化护理干预后对两组患者的生活质量进行比较。结果 两组PTBD置管患者置管后总胆红素(TBIL)、丙氨酸氨基转移酶(ALT)指标与置管前比均有明显下降(P＜0.05)；两组患者血清白蛋白(ALB)均有显著上升(P＜0.05)；干预组总胆红素(TBIL)、丙氨酸氨基转移酶(ALT)下降幅度和血清白蛋白(ALB)升高幅度较对照组明显,差异有统计意义(P＜0.05)；两组患者钾(K)和钠(Na)差异均无统计学意义。采用个体化护理干预后干预组在生理功能、躯体疼痛、总体健康、生命活力、心理健康均高于对照组,干预组干预后生活质量明显高于对照组,两组患者差异有统计学意义(P＜0.01)。结论 个体化护理干预有效提高胆汁回输患者生活质量,改善患者肝功能,提高了护理质量。

Study on the influence of individualized nursing intervention on the quality of life of patients with bile reinfusionTang Feng-rong1,Shen Na2,Tang Xiao-yan2,Zhang Xin-ping2,Ji Shun-yi2,Shi Yu-qi2

Objective To explore the effect of individualized nursing intervention on the quality of life of patients with bile reinfusion. Methods 44 patients with PTBD catheterization were divided into intervention group (22 cases) and observation group (22 cases). The changes of liver function and electrolyte indexes were compared between the two groups before and 4 days after catheterization. The quality of life of the two groups was compared after individualized nursing intervention.Results The total bilirubin (TBIL), alanine aminotransferase (ALT) and serum albumin (ALB) of PTBD catheterization patients in both groups were significantly decreased after catheterization (P < 0.05), and the total bilirubin (TBIL) and alanine aminotransferase (ALT) of intervention group were significantly increased (P < 0.05). The increase of serum albumin (ALB) and potassium (K) and sodium (Na) in the two groups were significantly higher than those in the control group (P < 0.05). After individualized nursing intervention, the physical function, body pain, overall health, vitality and mental health of the intervention group were higher than those of the control group, and the quality of life of the intervention group was significantly higher than that of the control group, the difference between the two groups was statistically significant (P<0.01). Conclusion Individualized nursing intervention can effectively improve the quality of life, liver function and nursing quality of patients with bile reinfusion.