摘要
目的综合经皮肝穿刺胆道引流术(percutaneous transhepatic biliary drainage,PTBD)患者延续护理实践研究,分析当前延续护理内容及评价指标,为提升带管出院患者的延续护理服务质量提供指导。方法采用范围审查的研究设计,检索PubMed、WOS核心集、CINAHL、Embase、Cochrane Library、知网、维普、万方、中国生物医学文献库,检索时限为建库至2024年8月20日,两名研究者独立筛选文献确定纳入的研究,提取相关资料。结果纳入18篇文献,延续护理形式包括电话随访、上门访视、网络平台随访、门诊随访,干预内容由院内延伸至院外,最长达6个月。评价指标集中在患者管路知识掌握情况、管路相关并发症发生率、满意度、自护能力等方面。结论当前PTBD患者延续护理内容要素多样,一定程度上可提高带管出院患者的自护能力和生活质量,但有待探究更加个性化的延续护理个案管理模式。评价指标集中于PTBD患者管路护理结局评价,需加强结构、过程方面的质量监管。
Objective To make a comprehensive review about transitional care practice for patients receiving percutaneous transhepatic biliary drainage(PTBD)and to analyze the current transitional care contents and evaluation indexes so as to provide guidance for improving the quality of transitional care services for discharged patients carrying a PTBD tube.Methods A scoping review study design was used to conduct a computerized retrieval of academic papers concerning the transitional care practice for discharged patients carrying a PTBD tube from the databases of PubMed,WOS Core Collection,CINAHL,Embase,Cochrane Library,CNKI,VIP,Wanfang med online,and Sinomed.The retrieval time period was from the establishment of the database to August 20,2024.Two investigators independently screened the literature to determine the studies to be included and the relevant information to be extracted.Results A total of 18 papers were enrolled in this study.The transitional care ways included telephone follow-up,home visit,online platform follow-up,and outpatient clinic follow-up.The intervention contents extended from in-hospital to out-of-hospital for up to 6 months.The evaluation indexes focused on the patient′s knowledge about PTBD tube,the incidence of tube-related complications,the satisfaction with care,self-care ability,etc.Conclusion At present,the transitional care for discharged patients carrying a PTBD tube has a variety of content elements,which can improve the self-care ability and quality of life of the discharged patients carrying a PTBD tube to a certain extent,although more individualized transitional care modes need to be further explored.The evaluation indexes are mainly the outcome assessment of PTBD tube care.It is necessary to strengthen the quality supervision of organizational structure and nursing process.
作者
余欢
王小梅
王梅
王瑞
彭国庆
龚莉雲
YU Huan;WANG Xiaomei;WANG Mei;WANG Rui;PENG Guoqing;GONG Liyun(Department of Hepatobiliary Surgery,Second Affiliated Hospital of Chongqing Medical University,Chongqing 400010,China)
出处
《介入放射学杂志》
北大核心
2025年第7期777-783,共7页
Journal of Interventional Radiology
基金
重庆市自然科学基金面上项目(CSTB2023NSCQ-MSX0466)。
关键词
经皮肝穿刺胆道引流
延续护理
范围分析
percutaneous transhepatic biliary drainage
transitional care
scoping analysis
