Objective To explore the effect of dual-link nursing based on collaborative theory guidance on the recovery status,self-care ability and psychological state of biliary and pancreatic diseases after endoscopic retrograde cholangiopancreatography(ERCP)patients.Methods 111 patients with biliary and pancreatic diseases undergoing ERCP who received treatment in the hospital from March 2019 to July 2021 were selected as the study subjects.According to the principle of comparability of basic characteristics,the patients were divided into control group(55 cases)and observation group(56 cases).The control group was given traditional nursing,the observation group was given dual-link collaboration nursing.Profile of Mood States(POMS),Gastrointestinal Quality of Life Index(GIQLI)and Exercise of Self-Care Agency Scale(ESCA)were used to evaluate the psychological state,quality of life and self-care ability of patients before and after intervention.The postoperative drainage status,hospital stay days,first exhaust time,nasobiliary extubation time,incidence rates of complications,POMS,GIQLI and ESCA were compared between the two groups of patients.Results The hospital stay,first exhaust time and nasobiliary extubation time with 6.13±1.12 d,1.28±0.31 d and 3.16±0.54 d in observation group were shorter than with 7.04±1.29 d,1.64±0.52 d,3.82±0.63 d in control group the difference was statistically signifcant(P<0.05).1 case of acute cholangitis and 1 case of fever and abdominal pain occurred in observation group after ERCP,with total incidence rate of 3.57%.There were 2 cases of acute pancreatitis,1 case of acute cholangitis and 4 cases of fever and abdominal pain in control group after ERCP,with total incidence rate of 16.36%.The total incidence rate of complications after ERCP in observation group was lower than the control group(P<0.05).After nursing intervention,the negative emotion score of POMS of patients was lower while the positive emotion score and scores of dimensions of GIQLI and ESCA were higher in observation group compared to control group(P<0.05).Conclusion Dual-link collaboration nursing for biliary and pancreatic diseases after ERCP can promote the postoperative early rehabilitation of patients,reduce the incidence rates of postoperative complications,improve the psychological state and quality of life.
关键词
双环节协同护理/胆胰疾病/内镜逆行胰胆管造影术/生活质量/自我护理能力/并发症
Key words
Dual-link collaboration nursing/Biliary and pancreatic diseases/Endoscopic retrograde cholangiopancreatography/Quality of life/Self-care ability/Complications
维普
万方数据