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目的:探讨延续护理在肝胆术后并发胆瘘携T型管出院患者中的应用效果。方法:将2015年7月-2017年6月我院收治的肝胆术后并发胆瘘携T型管76例,随机分为观察组(38例)和对照组(38例),对照组患者实施常规出院指导,观察组患者实施延续护理,3个月后,比较两组患者的自我护理能力和生活质量情况。结果:3个月后,观察组患者伤口护理、饮食护理、引流管护理及生活护理能力明显高于对照组,生活质量评分明显高于对照组(P<0.05)。结论:对肝胆术后并发胆瘘携T型管出院患者实施延续护理,可以显著提升患者的自我护理能力,并改善术后的生活质量,临床上意义显著。
Objective: To investigate the effect of extended nursing in discharged patients with T tube after biliary fistula complicated by hepatobiliary operation. Methods: From July 2015 to June 2017, 76 patients with hepatobiliary complicated with biliary fistula were randomly divided into observation group (38 cases) and control group (38 cases), and patients in control group General discharge guidance, observation group patients to implement extended care, 3 months later, the two groups of patients self-care ability and quality of life. Results: After 3 months, the patients in the observation group were significantly higher in wound care, diet care, drainage tube care and life care ability than those in the control group, and the quality of life scores were significantly higher in the observation group than in the control group (P <0.05). Conclusion: The continuous nursing care of discharged patients with T tube after biliary fistula complicated with biliary fistula can significantly improve patients’ self-care ability and improve the postoperative quality of life, which has a significant clinical significance.