1 新疆医科大学第一附属医院全科医学科，乌鲁木齐 830054
2 新疆医科大学第一附属医院肛肠科，乌鲁木齐 830054
目的：分析基于文化认同的家人照料策略对急性结石性胆囊炎术后带管引流患者的干预效果，为这类特殊群体的优质诊疗积累循证经验。方法：将新疆医科大学第一附属医院在2017年1月至12月收诊的43例行经皮经肝胆囊穿刺引流术(percutaneous transhepatic gallbladder drainage，PTGD)或经皮肝穿刺胆道引流术(percutaneous transhepatic biliary drainage，PTCD)的急性结石性胆囊炎患者命名为对照组，开展常规干预；将医院在2018年1月至12月收诊的43例行PTGD或PTCD的急性结石性胆囊炎患者设为研究组，在对照组干预基础上予以基于文化认同的家人照料策略。记录两组患者留置时间、二次置管发生率和穿刺处感染率；比较两组患者的满意度。结果：研究组留置时间短于对照组，二次置管发生率及穿刺处感染率小于对照组，满意度较对照组高，差异有统计学意义(P<0.05)。结论：对术后带管引流的急性结石性胆囊炎患者，引入基于文化认同的家人照料策略能降低二次置管率，提高满意度。
Effect of family care strategy based on cultural identity on secondary catheterization rate and quality of care in patients with acute calculous cholecystitis after drainage
CorrespondingAuthor: LIN Chunmei
This work was supported by Humanities and Social Sciences of Xinjiang Medical University Reform and Development Project Foundation, China (2017XYFG105).
Objective: To analyze the effect of family care strategy based on cultural identity on the rate of secondary catheter placement and quality of care in patients with acute calculous cholecystitis after catheter drainage, and to accumulate evidence-based experience for high-quality care and care for these special groups. Methods: Forty-three patients with percutaneous transhepatic gallbladder drainage (PTGD) or percutaneous transhepatic biliary drainage (PTCD) acute calculus cholecystitis who were treated in First Affiliated Hospital of Xinjiang Medical University from January to December 2017 were named as a control group and carried out traditional nursing. The 43 cases of PTGD or PTCD acute calculus cholecystitis in the hospital from January to December 2018 were named as a study group other. Based on the traditional care of the control group, a family care strategy based on cultural identity was adopted in the study group. The indwelling time, incidence of secondary catheterization, and infection rate at the puncture site were recorded in the two groups; the satisfaction of nursing care was compared between the two groups. Results: In the study group, the duration of indwelling was shorter than that of the control group (P<0.05). The incidence of secondary catheterization and infection at the puncture site was smaller than that of the control group (P<0.05). Conclusion: For patients with postoperative acute cholecystitis with tube drainage, introducing a family care strategy based on cultural identity can reduce the rate of secondary catheter placement and improve the quality of care.
cultural identity; family care; acute calculus cholecystitis; drainage tube placement; satisfaction