摘要
目的 探讨多学科协作护理模式对经颈静脉肝内门体分流术(TIPS)患者术后并发症及生活质量的影响。方法 选取2022年6月至2025年6月行TIPS治疗的60例肝硬化门静脉高压患者,随机分为对照组与观察组各30例。对照组实施常规围术期护理,观察组实施多学科协作护理。比较两组术后并发症发生率、生活质量及护理满意度。结果 观察组术后并发症总发生率显著低于对照组;观察组SF-36各维度评分及护理满意度均显著高于对照组。结论 多学科协作护理能有效降低TIPS术后并发症风险,提升患者生活质量与满意度,值得临床推广应用。
关键词: 多学科协作护理;经颈静脉肝内门体分流术;并发症;生活质量
Abstract
Objective To explore the impact of the multidisciplinary collaborative nursing model on postoperative complications and quality of life in patients undergoing transjugular intrahepatic portosystemic shunt (TIPS) treatment. Methods Sixty patients with liver cirrhosis and portal hypertension who underwent TIPS treatment from June 2022 to June 2025 were selected and randomly divided into a control group and an observation group, with 30 cases in each group. The control group received routine perioperative care, while the observation group received multidisciplinary collaborative care. The incidence of postoperative complications, quality of life, and nursing satisfaction were compared between the two groups. Results The total incidence of postoperative complications in the observation group was significantly lower than that in the control group; the scores of each dimension of SF-36 and nursing satisfaction in the observation group were significantly higher than those in the control group. Conclusion Multidisciplinary collaborative nursing can effectively reduce the risk of postoperative complications in TIPS patients, improve their quality of life and satisfaction, and is worthy of clinical promotion and application.
Key words: Multidisciplinary collaborative nursing; Transjugular intrahepatic portosystemic shunt; Complications; Quality of life
参考文献 References
[1] 汤书豪,赵卫,胡继红,等. 肝硬化患者经颈静脉肝内门体分流术后肝性脑病发生的预测模型研究进展[J].临床放射学杂志,2026,45(03):569-573.
[2] 汪今朝,Kabelitz MA,Hartl L,等. Hepatology | TIPS术后识别最佳门静脉压以控制腹水并减少肝性脑病变:一项多中心研究[J].中西医结合肝病杂志,2026,36(02):158.
[3] 杨波,陈叶儿. 肾移植术后行腹腔镜下根治性前列腺切除术1例的围手术期护理[J].中国乡村医药,2026,33(03):63-64.
[4] 赖瑞敏,郑琦,陈靖. TIPS术后肝硬化患者的营养管理:关注肌少症的影响[J].西南医科大学学报,2026,49(01):16-19.
[5] 魏民华,周俊英. 肝硬化难治性腹水的诊治进展[J].西南医科大学学报,2026,49(01):12-15+67.
[6] 李婷婷,刘福全,翟丰. TIPS术后肝性脑病护理因素分析及风险预警体系建立研究[J].传染病信息,2025,38(06):557-564.
[7] 何秀芳,林瑞祥. 经颈静脉肝内门体静脉分流术患者康复护理路径的应用[J].实用医学杂志,2025,41(19):3112-3118.
[8] 李伟,乔圣杰,张林鹏. 经颈静脉肝内门体分流术术后发生肝性脑病围术期相关因素的分析[J].山西医药杂志, 2025,54(18):1398-1402.
[9] 韩序,王文权,刘亮. 预防性胆-胰双分流:胰十二指肠切除术后并发症防控的理念革新与临床转化[J].中国普通外科杂志,2025,34(09):1876-1881.
[10] 齐劲松,郭晓鹤,齐国菊,等. 经颈静脉肝内门体分流术与经皮经肝门静脉穿刺术治疗Yerdel 3~4级门静脉血栓疗效观察[J].新乡医学院学报,2025,42(09):721-726.