Evidence-based nursing care on prevention of post-pancreaticoduodenectomy hemorrhage_West China Medical Journal

Authors：

HU Yanjie , QIN Li , WANG Yao ,  LUO Yanli

Department of Liver Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

LUO Yanli, Email: luoyl6@126.com

Keywords：

Evidence-based nursing; Pancreaticoduodenectomy; Gastrointestinal hemorrhage

DOI：

10.7507/1002-0179.201603275

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To explore how to integrate the various sources of information in designing an evidence-based nursing care plan for preventing gastrointestinal hemorrhage (GIH) after pancreaticoduodenectomy (PD). Method Papers and references about prevention of GIH after PD were searched between September and October 2015, and an evidence-based nursing care plan was drawn up and implemented from November 2015 to January 2016. Results A total of 79 papers were found and of which 17 were aviliable. Thirty-nine patients were cared on the basis of the effective project, of whom one was dignosed with GIH on the 3rd postoperative day and the rate of post-PD hemorrhage was 2.6%. All patients were diacharged on the 6th or 7th postoperative day. Conclusion Exploring evidences under the guidance of scientific method and applying them to clinical nursing can prevent post-PD hemorrhage and improve life quality of patients.

Citation： HU Yanjie, QIN Li, WANG Yao, LUO Yanli. Evidence-based nursing care on prevention of post-pancreaticoduodenectomy hemorrhage. West China Medical Journal, 2018, 33(5): 579-583. doi: 10.7507/1002-0179.201603275 Copy

1.	Sredl D, Aukamp V. Evidence-based nursing care management for the pregnant woman with anostomy. J Wound Ostomy Continence Nurs, 2006, 33(1): 42-49.
2.	Blanc T, Cortes A, Goere D, et al. Hemorrhage after pancreaticoduodenectomy: when is surgery still indicated?. Am J Surg, 2007, 194(1): 3-9.
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5.	孙叶飞, 李华. 38 例胰十二指肠切除术围手术期护理体会. 中国医科大学学报, 2014, 43(1): 87-89.
6.	Xia X, Huang C, Cen G, et al. Preoperative diabetes as a protective factor for pancreatic fistula after pancreaticoduodenectomy: a meta-analysis. Hepatobiliary Pancreat Dis Int, 2015, 14(2): 132-138.
7.	Malleo G, Mazzarella F, Malpaga A, et al. Diabetes mellitus does not impact on clinically relevant pancreatic fistula after partial pancreatic resection for ductal adenocarcinoma. Surgery, 2013, 153(5): 641-650.
8.	郑芹, 卢彩霞, 叶志霞. 循证护理在预防胰十二指肠切除术后早期并发症中的应用. 中华护理杂志, 2007, 42(12): 1129-1131.
9.	Papadopoulos V, Filippou D, Manolis E, et al. Haemostasis impairment in patients with obstructive jaundice. J Gastrointestin Liver Dis, 2007, 16(2): 177-186.
10.	李良. 梗阻性黄疸患者胰十二指肠切除术后围手术期凝血功能的变化与并发症的关系. 南京: 南京大学, 2010.
11.	张太平, 王天笑, 赵玉沛. 胰腺癌诊断和治疗的瓶颈与对策. 中华消化外科杂志, 2012, 11(1): 41-44.
12.	Sohn TA, Yeo CJ, Cameron JL, et al. Do preoperative biliary stents increase postpancreaticoduodenectomy complications?. J Gastrointest Surg, 2000, 4(3): 258-267.
13.	陈道瑾, 成伟. 胰十二指肠切除术的出血和止血. 世界华人消化杂志, 2009, 17(5): 482-484.
14.	Zhu XH, Wu YF, Qiu YD, et al. Effect of early enteral combined with parenteral nutrition in patients undergoingpancreaticoduodenectomy.World J Gastroenterol, 2013,19(35): 588-5896.
15.	Rosenberg D, Eichorn A, Alarcon M, et al. External validation of the risk assessment model of the International Medical Prevention Registry on Venous Thromboembolism (IMPROVE) for medical patients in a tertiary health system, J Am Heart Assoc, 2014,3(6): e001152.
16.	Distler M, Rückert F, Hunger M, et al. Evaluation of survival in patients after pancreatic head resection for ductal adenocarcinoma. BMC Surg, 2013, 13: 12.
17.	王春田. 胰十二指肠切除术后预防性引流管拔管策略与术后并发症关系的研究. 长春: 吉林大学, 2014.
18.	Wellner UF, Kulemann B, Lapshyn H, et al. Postpancreatectomy hemorrhage--incidence, treatment, and risk factors in over 1,000 pancreatic resections. J Gastrointest Surg, 2014,18(3): 464-475.
19.	Beyer L, Bonmardion R, Marciano S, et al. Results of non-operative therapy for delayed hemorrhage after pancreaticoduodenectomy. J Gastrointest Surg, 2009, 13(5):922-928.

1. Sredl D, Aukamp V. Evidence-based nursing care management for the pregnant woman with anostomy. J Wound Ostomy Continence Nurs, 2006, 33(1): 42-49.
2. Blanc T, Cortes A, Goere D, et al. Hemorrhage after pancreaticoduodenectomy: when is surgery still indicated?. Am J Surg, 2007, 194(1): 3-9.
3. 胡雁. 循证护理学. 北京: 人民卫生出版社, 2012: 12-105.
4. 李丽, 杨立群, 王健, 等. 恶性梗阻性黄疸患者围手术期凝血功能变化规律分析. 第二军医大学学报, 2004, 10(10): 1139-1140.
5. 孙叶飞, 李华. 38 例胰十二指肠切除术围手术期护理体会. 中国医科大学学报, 2014, 43(1): 87-89.
6. Xia X, Huang C, Cen G, et al. Preoperative diabetes as a protective factor for pancreatic fistula after pancreaticoduodenectomy: a meta-analysis. Hepatobiliary Pancreat Dis Int, 2015, 14(2): 132-138.
7. Malleo G, Mazzarella F, Malpaga A, et al. Diabetes mellitus does not impact on clinically relevant pancreatic fistula after partial pancreatic resection for ductal adenocarcinoma. Surgery, 2013, 153(5): 641-650.
8. 郑芹, 卢彩霞, 叶志霞. 循证护理在预防胰十二指肠切除术后早期并发症中的应用. 中华护理杂志, 2007, 42(12): 1129-1131.
9. Papadopoulos V, Filippou D, Manolis E, et al. Haemostasis impairment in patients with obstructive jaundice. J Gastrointestin Liver Dis, 2007, 16(2): 177-186.
10. 李良. 梗阻性黄疸患者胰十二指肠切除术后围手术期凝血功能的变化与并发症的关系. 南京: 南京大学, 2010.
11. 张太平, 王天笑, 赵玉沛. 胰腺癌诊断和治疗的瓶颈与对策. 中华消化外科杂志, 2012, 11(1): 41-44.
12. Sohn TA, Yeo CJ, Cameron JL, et al. Do preoperative biliary stents increase postpancreaticoduodenectomy complications?. J Gastrointest Surg, 2000, 4(3): 258-267.
13. 陈道瑾, 成伟. 胰十二指肠切除术的出血和止血. 世界华人消化杂志, 2009, 17(5): 482-484.
14. Zhu XH, Wu YF, Qiu YD, et al. Effect of early enteral combined with parenteral nutrition in patients undergoingpancreaticoduodenectomy.World J Gastroenterol, 2013,19(35): 588-5896.
15. Rosenberg D, Eichorn A, Alarcon M, et al. External validation of the risk assessment model of the International Medical Prevention Registry on Venous Thromboembolism (IMPROVE) for medical patients in a tertiary health system, J Am Heart Assoc, 2014,3(6): e001152.
16. Distler M, Rückert F, Hunger M, et al. Evaluation of survival in patients after pancreatic head resection for ductal adenocarcinoma. BMC Surg, 2013, 13: 12.
17. 王春田. 胰十二指肠切除术后预防性引流管拔管策略与术后并发症关系的研究. 长春: 吉林大学, 2014.
18. Wellner UF, Kulemann B, Lapshyn H, et al. Postpancreatectomy hemorrhage--incidence, treatment, and risk factors in over 1,000 pancreatic resections. J Gastrointest Surg, 2014,18(3): 464-475.
19. Beyer L, Bonmardion R, Marciano S, et al. Results of non-operative therapy for delayed hemorrhage after pancreaticoduodenectomy. J Gastrointest Surg, 2009, 13(5):922-928.

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