Published online Dec 6, 2021. doi: 10.12998/wjcc.v9.i34.10530
Peer-review started: August 12, 2021
First decision: September 2, 2021
Revised: September 9, 2021
Accepted: October 12, 2021
Article in press: October 12, 2021
Published online: December 6, 2021
Percutaneous transhepatic cholangiography drainage (PTCD) effectively treats biliary obstruction. However, patients must maintain the drainage tube after hospital discharge, which may interfere with daily life and work, potentially causing psychological distress. Postoperative rehabilitation is crucial, and strengthened nursing interventions can shorten recovery time.
The aim was to evaluate an inpatient model to shorten rehabilitation duration and improve quality of life after PTCD.
A total of 118 patients with malignant obstructive jaundice who were admitted to our hospital between May 2018 and January 2021 were included and divided into observational (with therapy) and control (no therapy) groups of 59 each.
The observational group had fewer hospitalization days than the control group. The complication, the PTCD fixed-tube prolapse, and tube-related admission rates within 3 mo after PTCD were significantly lower in the observation group than in the control group (P < 0.05). The fatigue, pain, nausea, vomiting, pruritus, emaciation, and fever scores after PTCD decreased in both groups compared with the scores before PTCD (P < 0.05). The quality of life scores after the intervention were higher in the observation than in the control group (P < 0.05).
The model promoted rehabilitation after PTCD, reduced post-PTCD complications, and the tube-related admissions in the 3 mo after the procedure, and improved the quality of life.
Core Tip: This retrospective study found that a rapid recovery model promoted the recovery of patients after percutaneous transhepatic cholangiography drainage intervention, reduced intervention-related complications and catheter-related admissions within 3 mo of intervention, and improved quality of life.