Objective:To analyze the effect of health education of cognitive intervention on the postoper-ative nursing effects of percutaneous transhepatic biliary drainage(PTBD) in Department of Hepatobiliary Sur-gery. Methods:86 cases in our hospital from department of hepatobiliary surgery for the treatment of PTBD were selected as the research objects,and randomly divided into the control group receiving routine health ed-ucation,cognitive group giving comprehensive and standard cognitive intervention on the basis of the control group of health education, with 43 cases in each group. The postoperative nursing effect and complications were compared between the two groups. Results:The related knowledge about disease and PTBD in the cogni-tive group were significantly higher than those in the control group,and patients with stable state of mind,and actively cooperate with the treatment was significantly higher than those in the control group,and patients with acceptable time for more than 3 months was significantly higher than that of control group(P<0.01).The inci-dence rates of infection and catheter removal in the cognitive group were significantly lower than those in the control group (P<0.05). Conclusion:Cognitive intervention of health education in the department of hepato-biliary surgery for PTBD can significantly improve the cognitive level of disease, promote actively cooperate with the treatment, with psychological adjustment, which can significantly improve the nursing effects after surgery and reduce the incidence rate of postoperative infection and extubation,so it is worthy of clinical pro-motion.%目的:分析认知干预的健康教育对肝胆外科经皮肝胆管穿刺引流术(PTBD)术后护理效果的影响.方法:将本院86例于本院肝胆外科接受 PTBD 手术治疗的患者作为研究对象,随机分为对照组给予常规健康教育,认知组在对照组健康教育的基础上进行综合性、规范化的认知干预,两组各43例.比较两组术后护理效果及并发症发生情况的差异.结果:认知组对疾病和 PTBD 术相关知识的认知水平均明显高于对照组,且患者心态平稳、积极配合治疗的比例较对照组明显升高,可接受带管时间超过3个月的比例较对照组明显升高(P<0.01).认知组感染、脱管的发生率较对照组均显著降低(P<0.05).结论:认知干预的健康教育应用于肝胆外科行PTBD术治疗的患者可明显提高其对疾病的认知水平,促进其积极配合治疗,调整心理状态,能够明显提高患者术后护理效果,减少脱管及术后感染的发生率,因此值得临床推广.
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