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| Application of predictive nursing in postoperative rehabilitation of hepatolithiasis complicated with cholangiocarcinoma |
| XU Wei-ying |
| Department of Oncology,Ganzhou Municipal Hospital,Jiangxi Province,Ganzhou 341000,China |
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Abstract Objective To investigate the clinical effect of predictive nursing intervention in postoperative rehabilitation of hepatolithiasis complicated with cholangiocarcinoma.Methods From January 2015 to January 2017,88 patients with hepatolithiasis complicated with cholangiocarcinoma treated in our hospital were randomly divided into the control group and the observation group,44 patients in each group.The control group underwent routine hepatobiliary surgery nursing and the observation group received predictive nursing intervention.The adverse reaction cases,postoperative anal exhaust time,leave bed activity time,hospitalization time,the satisfaction of nursing service during surgical treatment of hepatolithiasis complicated with cholangiocarcinoma,VAS,SDS,SAS scores before and after nursing intervention of patients in the two groups were compared.Results There were only 2 cases(4.5%)of adverse reactions during the perioperative period of the observation group,less than 9 cases(20.5%)in the control group,and difference was statistically significant(P＜0.05).The postoperative anal exhaust time,leave bed activity time and hospitalization time were shorter than the control group,the differences were significant(P＜0.05).The satisfaction of nursing service of the observation group(95.5%)was less than that in the control group(79.6%),and the difference was statistically significant(P＜0.05).The VAS,SDS and SAS scores were comparedbeforeandofthetwogroups,andthedifferencesweresignificant(P＜0.05).Theindexscores of the patientsintheobservation group were compared with the control group after nursing intervention,and the differences were statistically significant(P＜0.05).Conclusion Patients with hepatolithiasis complicated with cholangiocarcinoma predictive nursing intervention after surgical treatment can shorten the postoperative recovery time,reduce the adverse reaction and control pain.The patient can maintain peace of mind and achieve the aim of improving the therapeutic effect and nursing satisfaction.
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| [1] |
梁文婷，郑慧琼，叶湘华，等.肝内胆管结石合并胆管癌围术期辅助化疗的观察及护理[J].吉林医学，2013，34（22）：4550-4551.
|
| [2] |
陈君武，李德方，付良彬，等.肝内胆管结石合并急性胆管炎外科治疗（附 38 例分析）[J].浙江创伤外科，2013，18（4）：521-522.
|
| [3] |
喻南.预见性护理对不稳定型心绞痛患者的临床效果及满意度影响[J].国际护理学杂志，2014，9（5）：1097-1099.
|
| [4] |
张志霞.预见性护理在慢性心功能不全压疮高危病人护理中的应用[J].护理研究，2014，28（6B）：2129-2130.
|
| [5] |
孟梅.循证护理与常规护理在肺癌患者放疗中的作用比较[J].实用临床医药杂志，2012，16（14）：10-12.
|
| [6] |
田先，田会娟.预见性护理联合优质护理在重型颅脑损伤中应用的效果观察[J].安徽医药，2014，18（8）：1600-1602.
|
| [7] |
张亚娣.预见性护理在冠心病心绞痛患者护理过程中的应用[J].中西医结合心血管病电子杂志，2015，3（23）：178-179.
|
| [8] |
姚来明.预见性护理在冠心病心绞痛患者护理过程中的应用效果[J].齐齐哈尔医学院学报，2016，37（3）：401-402.
|
| [9] |
自朝芬.预见性护理在冠心病心绞痛患者护理过程中的应用[J].心血管病防治知识（学术版），2014，12（1）：121-123.
|
| [10] |
徐琪，郑贸根，赵艾君，等.循证护理在首次化疗肺癌患者中的应用[J].中华现代护理杂志，2011，17（34）：4157-4158.
|
| [11] |
陈冬琼.临床护理路径在冠心病心绞痛患者护理中的应用效果研究[J].白求恩军医学院学报，2013，11（3）：197-199.
|
| [12] |
程玉，罗云藩，廖锦岐，等.肝内胆管结石合并胆管癌38例临床分析[J].临床外科杂志，2012，20（7）：473-475.
|
| [13] |
焦红玉.预见性护理在45例不稳定型心绞痛患者护理中的效果分析[J].贵阳中医学院学报，2014，36（5）：111-113.
|
| [14] |
喻南.预见性护理对不稳定型心绞痛患者的临床效果及满意度影响[J].国际护理学杂志，2014，33（5）：1097-1099.
|
| [15] |
张志霞.预见性护理在慢性心功能不全压疮高危病人护理中的应用[J].护理研究，2014，28（6）：2129-2130.
|
| [16] |
蒲成容，季巧，张静梅，等.肝胆管结石合并门脉高压围术期快速康复护理[J].现代临床医学，2013，39（6）：451-452.
|
|
|
|
