Đánh giá kết quả chăm sóc bệnh nhân sau phẫu thuật cắt khối tá tụy

Abstract

Objective: To assess the patient care results after pancreaticoduodenectomy. Subject and method: A cross-sectional study on all patients treated with pancreaticoduodenectomy at the Hepato Biliary and Pancreatic Surgery Department of 108 Military Central Hospital, from December 2018 to July 2019. Data were collected using a unified case report form. Result: A total of 32 patients, over 60 years old accounted for 62.5% and 56.2% were male in 32 patients treated. The BMI decreased by 2.38kg/m² after surgery. The nurses applied multiple methods for pain relief. Only 7.7% of patients reported pain after 24 hours. The incision infection rate accounted for 25%. On the third day, over 65% of patients ate the porridge; on the fifth day, there were 96.9% of patients eating porridge and rice. Patients walked around the room and in the corridor of the hospital on the third day. Assured treatment results was 78.1% of patients. The most common complication was pancreatic fistula, occurs in 34.4% of patients. The mean hospital stay was 30 days. 100% recovered and discharged. Conclusion: The results showed that: good, fair, average and bad are 25%, 53.1%, 15.6% and 6.2%, respectively. Care of patients after pancreatectomy is very important, contributing to the prevention of complications after surgery, helping patients recover quickly.