ISSN 2097-5724 CN 61-1535/R 主管·主办:陕西省疾病预防控制中心
疾病预防与控制 Disease Prevention and Control 医学学术期刊 双月刊
2025-06-057 护理学研究 2025, (06)

强化护理措施在胆管癌介入治疗患者术后护理中的作用

上海交通大学医学院附属瑞金医院卢湾分院

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摘要

摘要:目的 本研究旨在评估强化护理措施在胆管癌介入治疗患者术后护理中的效果,探讨其对术后短期 并发症、长期康复、生活质量和心理健康的影响。方法 本研究分析了 2021 年 1 月至 2023 年 12 月在上海交通大学医学院附属瑞金医院卢湾分院接受胆管癌介入治疗的 78 例患者。所有患者按是否接受强化护理分为对照组(n=39)和观察组(n=39)。对照组接受常规术后护理,观察组在常规护理基础上增加了强化护理 措施。结果 观察组的术后感染、引流管堵塞的发生率显著低于对照组(P<0.05),但胆管狭窄复发差异不 显著(P>0.05)。长期并发症方面,观察组的过敏反应较对照组更低(P<0.05)。肝功能指标(ALT、AST)与肾功能指标(Cr)在两组间均处于正常范围,且差异无统计学意义(P>0.05)。术后 1 个月,观察组的生活质量和心理健康评分显著高于对照组(P<0.05),术后 3 个月虽高于对照组,但差异无统计学意义(P>0.05)。结论 强化护理措施对胆管癌患者术后恢复具有显著的积极作用,能够有效减少短期并发症,改善长期康复,提升生活质量和心理健康。该护理模式为胆管癌患者术后管理提供了有益的临床参考。

Abstract

Abstract: Objective This study aimed to evaluate the effects of enhanced nursing interventions on postoperative care in patients undergoing interventional treatment for cholangiocarcinoma, focusing on the impact on short-term complications, longterm recovery, quality of life, and psychological health. Methods An analysis was conducted on 78 cholangiocarcinoma patients who underwent interventional treatment at a tertiary hospital from January 2021 to December 2023. The patients were divided into a control group (n=39) receiving routine postoperative care and an observation group (n=39) receiving enhanced nursing interventions. The primary outcome measures included postoperative infections, drainage tube obstruction, biliary stricture recurrence, allergic reactions, liver and kidney function deterioration, as well as quality of life and psychological health assessed through structured questionnaires. Results The observation group showed significantly lower rates of postoperative infection and drainage tube obstruction compared to the control group (P<0.05). No significant difference was found in biliary stricture recurrence (P>0.05). In terms of long-term complications, the observation group had lower rates of allergic reactions (P<0.05). The incidence of liver function deterioration decreased, but the difference was not statistically significant (P>0.05). At 1 month postoperative follow-up, the observation group demonstrated significantly better quality of life and psychological health (P<0.05) compared to the control group. These differences remained favorable but not statistically significant at the 3-month follow-up. Conclusion Enhanced nursing interventions have a significant positive impact on postoperative recovery in cholangiocarcinoma patients, reducing short-term complications, improving long-term recovery, and enhancing both quality of life and psychological health. This nursing model provides valuable clinical insights for postoperative management of cholangiocarcinoma patients.

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[1]刘荣,周逸,金杨悦,等.强化护理措施在胆管癌介入治疗患者术后护理中的作用[J],2025,01(06):.