Risk prevention and control and practical experience of drainage tube management in the nursing care of patients undergoing hepatobiliary surgery
引流管管理在肝胆外科手术患者护理中的风险防控与实践体会

摘要

目的 探究针对性风险防控管理在肝胆外科手术患者引流管护理中的应用效果，明确其对降低并发症发生率、提升护理满意度及缩短康复周期的作用。方法 选取本院肝胆外科46例术后需留置引流管的患者，按护理方式分为观察组（23例，实施固定优化、体位护理、动态监测等针对性风险防控）与对照组（23例，行常规引流管护理）。比较两组引流管相关并发症发生率、护理满意度评分及引流管留置时间、术后住院时间，采用t检验与χ2检验分析数据。结果 观察组并发症总发生率（8.70%）显著低于对照组（34.78%）（P<0.05）；护理满意度总分（91.32±4.25分）高于对照组（78.76±5.18分）（P<0.001）；引流管留置时间（6.2±1.3d）、术后住院时间（10.5±1.8d）均短于对照组（P<0.001）。结论 针对性风险防控管理可有效降低肝胆外科术后引流管相关并发症，提升护理质量，缩短患者康复进程，具有重要临床应用价值。

Abstract

Objective To explore the application effect of targeted risk prevention and control management in the nursing care of drainage tubes for patients undergoing hepatobiliary surgery, and clarify its role in reducing the incidence of complications, improving nursing satisfaction, and shortening the rehabilitation cycle.
Methods A total of 46 patients who required indwelling drainage tubes after hepatobiliary surgery in a tertiary first-class hospital were selected and divided into an observation group and a control group according to the nursing methods, with 23 cases in each group. The observation group received targeted risk prevention and control measures such as fixation optimization, position nursing, and dynamic monitoring, while the control group received routine drainage tube nursing. The incidence of drainage tube-related complications, nursing satisfaction scores, drainage tube indwelling time, and postoperative hospital stay were compared between the two groups. Data were analyzed using t-test and chi-square test.
Results The total incidence of complications in the observation group (8.70%) was significantly lower than that in the control group (34.78%) (P<0.05); the total nursing satisfaction score in the observation group (91.32±4.25 points) was higher than that in the control group (78.76±5.18 points) (P<0.001); the drainage tube indwelling time (6.2±1.3 days) and postoperative hospital stay (10.5±1.8 days) in the observation group were shorter than those in the control group (P<0.001).
Conclusion   Targeted risk prevention and control management can effectively reduce drainage tube-related complications after hepatobiliary surgery, improve the quality of nursing care, and shorten the rehabilitation process of patients, which has important clinical application value.