|
|
The application of multidisciplinary team cooperation in patients with liver cirrhosis after endoscopic esophageal varices ligation therapy |
QIN Xixiang1 PENG Tieli1 LIU Junying1 OUYANG Meili1 GAN huoye1 JIANG Sheng2 GUO Dahai3 |
1.Department of Gastroenterology, the Sixth Affiliated Hospital of Guangzhou Medical University, Qingyuan People′s Hospital, Guangdong Province, Qingyuan 511500, China;
2.Department of Pharmacy, the Sixth Affiliated Hospital of Guangzhou Medical University, Qingyuan People′s Hospital, Guangdong Province, Qingyuan 511500, China;
3.Department of Clinical Nutriology, the Sixth Affiliated Hospital of Guangzhou Medical University, Qingyuan People′s Hospital, Guangdong Province, Qingyuan 511500, China |
|
|
Abstract Objective To explore the effect of multidisciplinary team nursing model on patients with liver cirrhosis after endoscopic esophageal varices ligation therapy. Methods This was a retrospective trial. 100 patients with liver cirrhosis after endoscopic esophageal varices ligation therapy in Department of Gastroenterology in , the Sixth Affiliated Hospital of Guangzhou Medical University from January 2014 to December 2015 were enrolled. 50 patients in 2014 were divided into the control group, and 50 patients in 2015 were divided into experimental group. All patients were followed up for six months after discharge. Patients′ compliance behavior, satisfaction of discharge guidance service, rate of rebleeding and mortality were recorded. Results The patients′ compliance behavior and satisfaction of discharge guidance service in the experimental group were better than those in the control group (P < 0.05). The rate of rebleeding in the experimental group were lower than that of the control group(P < 0.05). The rate of mortality in the experimental group were lower than that of the control group, but there was no statistical significance (P > 0.05). Conclusion A multidisciplinary team of seamless nursing mode improves the treatment compliance and satisfaction with medical services and reduces the rate of rebleeding of patients with liver cirrhosis after endoscopic esophageal varices ligation therapy.
|
|
|
|
|
[1] Garcia-Tsao G,Sanyal AJ,Grace ND,et al. Prevention and management of gastroesophageal varices and variceal hemor-rhage in cirrhosis [J]. Hepatology,2007,102(9):2086-2102.
[2] Ouakaa-Kchaou A,Kharrat J,Mir K,et al. Variceal band ligation in the prevention of variceal bleeding: a multicenter trial [J]. Saudi J Gastroenterol,2011,17(2):105-109.
[3] Lahbabi M,Elyousfi M,Aqodad N,et al. Esophageal variceal ligation for hemostasis of acute variceal bleeding:efficacy and safety [J]. Pan Afr Med J,2013,14:95.
[4] 程茜,秦波,胡丽瑜,等. EVL后再出血的相关因素及远期预后[J].肝胆胰外科杂志,2015,27(6):497-501.
[5] 李遵清,李玉梅,仇爱玫,等.多学科康复团队在稳定首发精神分裂症患者病情和降低复发中的作用研究[J].中国实用护理杂志,2010,26(10):52-54.
[6] 代莉莉.“医护一体化”护理模式在预防老年髋部骨折术后深静脉血栓中的应用[J].安徽医药,2013,17(6):1063-1065.
[7] 石英,杨辉,展淑敏,等.医护合作型责任制护理模式的实践及效果[J].中国护理管理,2013,13(2):22-25.
[8] 罗健,刘义兰.消化内科临床护理思维与实践[M].北京:人民卫生出版社,2013:521.
[9] 周秀琳.饮食干预对失代偿期肝硬化患者营养状况的影响[J].现代中西医结合杂志,2011,20(13):98-100.
[10] 王莉娟,吴金明.肝炎后肝硬化失代偿期住院患者营养状况分析[J].现代实用医学,2012,24(7):222-223.
[11] 刘海棠,谢丽娟. 多学科合作延续护理对慢性阻塞性肺疾病患者生命质量的影响[J].中国实用护理杂志,2016, 32(10):737-742.
[12] 何丹萍,王秀珍.多学科团队协作护理模式在食管癌手术患者中的应用效果[J].中国医药导报,2016,13(4):175-177.
[13] 覃桂荣.出院患者延续护理的现状及发展趋势[J].护理学杂志,2012,27(3):89-91.
[14] 赖丽芳,毕小娥,胡爱珍,等.网络视频健康教育在PICC带管出院患者中的应用[J].护理学杂志,2012,27(21):81-82.
[15] 黄叶莉,蔡昌兰,蔡伟萍,等.我院PICC置管规范维护的管理方法与效果[J].护理管理杂志,2012,12(4):284-285.
[16] Harewood GC,Baron TH,Song LM. Factors predictingsuccess of endoscopic variceal ligation for secondaryprophylaxis of esophageal variceal bleeding [J]. J Gastroenterol Hepatol,2006,21(2):237-241.
[17] 王芬,步光奎,沈守荣,等.食管静脉曲张套扎术对肝功能的影响及术后再出血的危险因素分析[J].中南大学学报:医学版,2013,38(5):521-525.
[18] 毛平,向亚利.内镜下套扎治疗食管静脉曲张术后早、晚期再出血的原因分析及处理[J].中国内镜杂志,2013, 19(7):732-735.
[19] 张兆宪.食管静脉曲张套扎术后早期再出血的原因分析与护理[J].当代护士,2010(1):21-22.
[20] 苑悦英.食管静脉曲张42例套扎后早期再出血的诱因分析及护理对策[J].中国现代医药杂志,2011,13(8):103-104.
[21] 周美英,赵桂玲,罗鉴兰.家庭支持对糖尿病性视网膜病变患者心理状态和生活质量的影响[J].中国实用护理杂志,2010,26(7A):59-61. |
|
|
|