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介入专科换药和管道维护技术在PTBD术患者的应用研究
作者姓名:阳秀春  莫伟  徐珊  徐源  柏凤姣
作者单位:湖南省人民医院(湖南师范大学附属第一医院)介入血管外科
基金项目:湖南省自然科学基金项目资助(2019JJ80081)。
摘    要:目的 研究定期介入专科护理门诊换药和管道维护在经皮肝穿刺胆道造影引流术(PTBD)术后患者的应用效果.方法 将我院2018年5月至2019年4月收治的因各种原因未按时到介入专科护理门诊进行伤口换药和管道维护的72例患者作为对照组,2019年5月至2020年4月收治的按时到介入专科护理门诊进行伤口换药和管道维护的82例患...

关 键 词:介入专科护理门诊  换药  管道维护  PTBD患者  应用效果

Application of interventional dressing change and drain tube maintenance in PTBD patients
Authors:Yang Xiuchun  Mo Wei  Xu Shan  Xu Yuan  Bai Fengjiao
Institution:(Department of Interventional Vascular Surgery,Hunan Provincial People’s Hospital,the First Affiliated Hospital of Hunan Normal University,Hunan Changsha 410005,China)
Abstract:Objective To study the effect of regular interventional nursing outpatient dressing change and drain tube maintenance in patients after PTBD.Methods 72 patients admitted to our hospital from May 2018 to April 2019 who did not go to the interventional specialist nursing clinics on time for wound dressing change and drainage tube maintenance were taken as the control group.From May 2019 to April 2020,82 patients(242 times)who were admitted and went to the interventional specialist nursing clinics on time served as the observation group.The knowledge of wound and PTBD tube nursing,the self-care ability of indwelling PTBD tube,wound infection,and readmission due to accidental tube blockage and extubation were compared between the two groups.Results Compared with the control group,patients in the observation group had lower rates of wound infection and readmission with significantly differences(P<0.05).The patient's nursing knowledge of wound and PTBD tube and the self-care ability of indwelling PTBD tube of the observation group were significantly better than those of the control group(P<0.05).Conclusions Regular dressing change and drainage tube maintenance in interventional specialist nursing clinics after PTBD can obviously improve the patient's knowledge of wound dressing change and PTBD tube nursing,reduce the rate of wound infection and accidental tube blockage and extubation readmission,and improve the self-care ability and comfort of the patients.
Keywords:Intervention specialist nursing clinic  Dressing change  PTBD drain tube maintenance  PTBD patient  Application effect
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