Title: Characteristics of patients with biliary tract diseases and nursing care of ABSTRACT
Background
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.
Methods:
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) 2. Biliary fistula occurred: 60 patients, two cases of experimental group was significantly lower than the control group 13 cases. (X2 = 7.62, P <0.01) 3. Infection: 60 patients, control group, 16 cases of infection in the experimental group five cases of infection. Experimental group was significantly lower than the control group. (X2 = 8.64, P <0.01) 4. Medical expenses: medical costs after the experimental group was 1.14 +0.24 (million), the control group 1.57 +0.31 (million), the experimental group significantly lower than the control group. (P <0.01) 5. Length of stay: Experimental group 7.07 +0.71 (days), the control group 8.73 +2.51 (days), both were significantly difference. (P <0.01) 6. Patient satisfaction: the experimental group and control group, 93.65 +1.93% 88.30 +1.60% difference was statistically significant. (P <0.01) 7. Postoperative feelings: the experimental group 47 cases feel comfortable in the control group 12 patients feel comfortable. Test group was significantly better than the control group. (X2 = 40.85, P <0.01)
Conclusion:
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.