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Improving rehabilitation and quality of life after percutaneous transhepatic cholangiography drainage with a rapid rehabilitation model

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World Journal of Clinical Cases 2021年第34期9卷 10530-10539页

作者： Lu-Lu Xia Ting Su Yan Li Jun-Fang Mao Qi-Hong Zhang Yang-Yan Liu Department of General Surgery Hangzhou Red Cross HospitalHangzhou 310003Zhejiang ProvinceChina Department of Emergency Taizhou Hospital of Zhejiang ProvinceLinhai 317000Zhejiang ProvinceChina Department of Gastroenterology The Central Hospital of Lishui CityLishui 323000Zhejiang ProvinceChina Department of Emergency Zhuji People’s Hospital of Zhejiang ProvinceZhuji 311800Zhejiang ProvinceChina

BACKGROUND percutaneous transhepatic cholangiography drainage(PTCD)effectively treats biliary ***,patients must maintain the drainage tube after hospital discharge,which may interfere with daily life and work,potentially causing psychological *** rehabilitation is crucial,and strengthened nursing interventions can shorten recovery *** The aim was to evaluate an inpatient model to shorten rehabilitation duration and improve quality of life after *** A total of 118 patients with malignant obstructive jaundice who were admitted to our hospital between May 2018 and January 2021 were included and divided into observational(with therapy)and control(no therapy)groups of 59 *** The observational group had fewer hospitalization days than the control *** complication,the PTCD fixed-tube prolapse,and tube-related admission rates within 3 mo after PTCD were significantly lower in the observation group than in the control group(P<0.05).The fatigue,pain,nausea,vomiting,pruritus,emaciation,and fever scores after PTCD decreased in both groups compared with the scores before PTCD(P<0.05).The quality of life scores after the intervention were higher in the observation than in the control group(P<0.05).CONCLUSION The model promoted rehabilitation after PTCD,reduced post-PTCD complications,and the tube-related admissions in the 3 mo after the procedure,and improved the quality of life.

关键词： Rapid rehabilitation model percutaneous transhepatic cholangiography drainage Quality of life Complications

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