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范文编号:HL155 范文字数:11947.页数:25 范文题目：胆道疾病病人的护理特点及护理探讨 摘 要 研究背景 胆道疾病的护理是我们临床护理工作中常见的内容之一, 随着人均寿命的增长以及生活水平的不断提高，人们的饮食习惯有所改变，胆道疾病也逐年增多，仅2007年我院就收治了2072例胆道疾病的患者。但是目前对胆道疾病的护理还存在着弊端，尤其是基层的中小医院，发生胆道术后出血、胆瘘、感染等并发症的机率仍然不低，给患者带来了痛苦，而且患者满意度较差，因此，规范,科学的护理是医院医疗质量考核的重要标准，也是减低医疗安全风险的主要环节，以达到保障住院患者安全的目的.特别针对目前医患关系紧张，医疗纠纷层出不穷，以及患者安全目标的实施要求,总结我科120例胆囊切除术（包括腹腔镜下胆囊切除术）和胆总管探查术的资料，着重介绍围手术期护理方法以及健康教育。结果全组术后并发症发生率低，无死亡病例。 研究目的 选择120位胆道手术患者，分为实验组（60例）采用围手术期护理方法及健康教育进行护理。对照组（60例）采用一般外科手术护理常规进行护理。观察两组患者术后出血、胆瘘及感染的情况，并对医疗费用、住院时间、患者满意度等进行对比分析，同时观察并记录两组患者的术后感受。 研究结果 患者中，对照组60例患者中16例出现出血大于等于30毫升，实验组5例患者出现出血大于等于30毫升，实验组明显少于对照组。(X2=8.64,P<0.01) 结论 采用围手术期护理方法及健康教育进行护理对胆道术后并发症地预防与治疗起了积极有效的作用。有效的护理了胆道术后患者，保证了患者顺利康复。其有效的减少并发症，缩短了患者的住院时间，减少了抗生素及其他药物的使用，降低了患者在院期间的医疗费用，同时使患者术后感觉舒适，提高了患者满意度，既提高了护理人员的工作效率，又提高了护理人员的服务质量。 关 键 词：胆道疾病；围手术期护理；健康教育 Biliary tract disease, clinical nursing care is one of the elements common with the average life expectancy of the growth and rising living standards, people's eating habits change, biliary tract disease is also increasing year by year, only in 2007 admitted to our hospital on the of the 2072 cases of biliary tract disease patients. But at present the care of biliary tract disease, there are still drawbacks, especially the grass-roots small hospital, occurred after biliary tract bleeding, biliary fistula, infection and other complications of the probability is still not low, has been a painful for patients, and patient satisfaction than the poor, therefore, standardized and scientific quality of hospital medical care is an important criterion for assessment.To reduce the security risks are also key areas of health care in order to achieve the purpose to protect the safety of hospitalized patients. Specifically for physician-patient relationship is currently strained, medical disputes, as well as the patient safety goal of the implementation of the requirements of Section 120 cases concluded I cholecystectomy (including laparoscopic cholecystectomy) and the common bile duct exploration data, highlighting the perioperative nursing methods and health education. Results The postoperative complication rate is low, no death cases. Objectives: Description biliary tract disease before surgery, care, prevention and to reduce postoperative complications of biliary tract disease, relapse and mortality, to find a more reasonable method of care. Select 120 patients with biliary tract surgery were divided into experimental group (60 cases) using perioperative nursing care methods and health education. The control group (60 cases) of conventional type commonly used in surgical care in nursing. Were observed in patients with postoperative bleeding, biliary fistula, and infections, and medical costs, length of stay, patient satisfaction were analyzed at the same time observe and record the two groups of patients with postoperative experience. Results: 1. Patients, 60 patients in the control group, 16 cases of bleeding than or equal to 30 ml in the experimental group five cases of bleeding in patients greater than or equal 30 ml in the experimental group significantly lower than the control group. (X2 = 8.64, P <0.01) Use of perioperative nursing care methods and health education for prevention of biliary complications and treatment played an active and effective role. Effective care of patients with biliary tract surgery to ensure the successful rehabilitation of patients. Their effective to reduce complications and shorten the patient's hospital stay, reduced use of antibiotics and other drugs to reduce the patient during his hospital medical costs, while postoperative comfort, improved patient satisfaction, not only improves the Nurses working efficiency, but also improves the quality of services nurses. TYPE OF THESIS: research report
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