相明明

【摘要】目的：探析对肝胆术后发生胆瘘患者的实施整体护理的临床护理效果。方法：对我院治疗的肝胆术后发生胆瘘100例患者进行研究，选取时间为2018年5月-2019年5月，按照两组盲选的方式将其随机分为到对照组和观察组，各组50例。给予对照患者一般护理措施，观察组则采用整体护理的方法，利用对比分析的方法，研究两组患者引流时间和住院时间的区别。结果：通过本次研究得知，无论是住院时间还是引流时间，观察组都要短于对照组，两组相关数据存在明显的差异，具有统计学意义（P<0.05）。结论：采取整体护理干预的方法，进行肝胆术后发生胆瘘患者的护理，能够有效的提高患者的临床护理效果，同时对患者引流时间和住院时间的减少有着积极作用，具有良好的临床应用价值。

【关键词】整体护理;肝胆术;胆瘘;临床护理效果

[Abstract] Objective：To explore the clinical nursing effect of holistic nursing for patients with biliary fistula after hepatobiliary surgery. Methods：100 patients with biliary fistula after hepatobiliary surgery in our hospital were studied. They were selected from May 2018 to May 2019. They were randomly divided into control group and observation group， 50 cases in each group. The control group was given general nursing measures， while the observation group was given holistic nursing. The difference of drainage time and hospitalization time between the two groups was studied by comparative analysis. Result： Through this study， we know that the time of hospitalization and drainage in the observation group is shorter than that in the control group. There are significant differences in the data between the two groups， with statistical significance （P < 0.05）. Conclusion： The holistic nursing intervention can effectively improve the clinical nursing effect of patients with biliary fistula after hepatobiliary surgery， and has a positive effect on the reduction of drainage time and hospitalization time of patients. It has a good clinical application value.

[Key words] holistic nursing; hepatobiliary surgery; biliary fistula; clinical nursing effect

【中圖分类号】R473

【文献标识码】A

【文章编号】2095-6851（2020）03-255-01

1 资料与方法

1.1 一般资料

将我院治疗的肝胆术后出现胆瘘的患者100例作为主要研究对象，随机将其分配到观察组和对照组，各组例数平均，观察组50例，对照组50例。其中对照组中男性患者30人，女性患者20人，年龄介于20-68岁之间，平均年龄（45.6±5.7）岁。观察组中男31例，女19例。年龄阶段在22-70岁之间，平均年龄为（46.1±5.91）岁。通过对比两组患者的基本资料，两者没有明显差异，不具备统计学意义（P>0.05），具有可比性。

1.2 方法

给予对照组患者一般护理干预。观察组中的患者则实施整体护理干预的措施。医护人员要及时掌握患者的整体情况，包括其心里状况，同时要积极的与患者进行沟通，并通过沟通了解患者心里存在的顾虑，给予其正确的心理引导;另外，还要给患者全面的讲解健康知识，对患者的生活进行整体性的关心，以此为患者的治疗提供便利。