Objective To explore the effects of multidisciplinary joint quality improvement nursing in reducing catheter obstruction or prolapse after percutaneous transhepatic choledochoscopic stone removal (PTCSL) and percutaneous transhepatic biliary drainage (PTCD) for intrahepatic bile duct stones. Methods A total of 80 patients with intrahepatic bile duct stones after PTCSL admitted to our hospital from March 2022 to March 2024 were included in the study and divided into the control group (n=40) and the observation group (n=40) by the random number table method. The control group received routine care, while the observation group adopted multidisciplinary joint quality improvement care based on the control group. Compare the frequency of patch replacement, hospital stay and the occurrence of catheter-related adverse events (such as catheter slippage and blockage) between the two groups; The visual analogue scale (VAS) scores, exercise of self-care ability scale (ESCA) scores, self-rating depression scale (SDS) and self-rating anxiety scale (SAS) scores before and after the intervention were compared between the two groups. Results The frequency of patch replacement and hospital stay in the observation group were both less than those in the control group and the differences were statistically significant. The VAS, ESCA, SDS and SAS scores of the two groups after intervention significantly improved compared with those before the intervention, and the improvement of the observation group was better than that of the control group. The incidences of catheter slippage and obstruction events in the observation group were significantly lower than in the control group. Conclusion Multidisciplinary joint quality improvement nursing has a significant effect on the nursing of patients after PTCSL for intrahepatic bile duct stones. It can significantly reduce the incidence of adverse events such as PTCD catheter obstruction or protrusion and promote the recovery of patients.
Key words
quality improvement /
percutaneous hepatic puncture biliary drainage /
intrahepatic bile duct calculus /
percutaneous hepatocentesis choledochoscopy /
adverse events /
catheter management
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