Application of interventional dressing change and drain tube maintenance in PTBD patients

doi:10.3877/cma.j.issn.2095-5782.2021.01.017

Abstract

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.

Key words: Intervention specialist nursing clinic, Dressing change, PTBD drain tube maintenance, PTBD patient, Application effect

Xiuchun Yang, Wei Mo, Shan Xu, Yuan Xu, Fengjiao Bai. Application of interventional dressing change and drain tube maintenance in PTBD patients[J]. Chinese Journal of Interventional Radiology(Electronic Edition), 2021, 09(01): 98-101.

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URL: https://zhjrfsxdzzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.2095-5782.2021.01.017

https://zhjrfsxdzzz.cma-cmc.com.cn/EN/Y2021/V09/I01/98

时间	组别	n	伤口的观察与换药	引流液量色质	导管维护相关知识
出院1个月	对照组	72	52（72.22）	55（76.39）	45（62.50）
	观察组	82	75（86.20）	78（95.12）	69（84.15）
	χ²值		9.817	11.424	9.343
	P值		0.002	0.001	0.002
出院3个月	对照组	72	58（80.56）	64（88.89）	49（68.06）
	观察组	82	80（97.56）	82（100.00）	73（89.02）
	χ²值		11.908	9.610	10.240
	P值		0.001	0.002	0.001

时间	组别	n	伤口的观察与换药	引流液量色质	导管维护相关知识
出院1个月	对照组	72	52（72.22）	55（76.39）	45（62.50）
	观察组	82	75（86.20）	78（95.12）	69（84.15）
	χ²值		9.817	11.424	9.343
	P值		0.002	0.001	0.002
出院3个月	对照组	72	58（80.56）	64（88.89）	49（68.06）
	观察组	82	80（97.56）	82（100.00）	73（89.02）
	χ²值		11.908	9.610	10.240
	P值		0.001	0.002	0.001

组别	调查患者数	能胜任	不能胜任
对照组	72	40（55.56）	32（44.44）
观察组	82	66（80.49）	16（19.51）
χ²值		11.108
P值		0.001

组别	调查患者数	能胜任	不能胜任
对照组	72	40（55.56）	32（44.44）
观察组	82	66（80.49）	16（19.51）
χ²值		11.108
P值		0.001

时间	组别	n	伤口感染	胆道感染	导管脱出/堵塞	非计划性急诊入院
出院1个月	对照组	72	13（18.06）	16（22.22）	09（12.50）	09（12.50）
	观察组	82	00（0.00）	03（3.66）	01（1.22）	01（1.22）
	χ²值		16.171	12.215	8.035	8.035
	P值		0.000	0.000	0.005	0.005
出院3个月	对照组	72	12（16.67）	13（18.06）	10（13.89）	7（9.72）
	观察组	82	01（1.22）	00（0.00）	02（2.44）	0（0.00）
	χ²值		11.836	16.171	5.976	8.352
	P值		0.001	0.000	0.015	0.004

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