VAI TRÒ CỦA ĐIỀU DƯỠNG ĐỐI VỚI CAN THIỆP CHỌC HÚT Ổ ÁP XE Ở BỆNH NHÂN ÁP XE GAN ĐIỀU TRỊ TẠI BỆNH VIỆN TRUNG ƯƠNG QUÂN ĐỘI 108

Abstract

Objective: Hepatic abscess is an acute localized inflammation of the liver, and percutaneous drainage is required in 50-60% of cases. Our study evaluates the role of nursing in performing this intervention. Subject and Methods: A retrospective study was conducted on 121 patients with hepatic abscesses undergoing percutaneous drainage at Military Hospital 108 from 1/2018 to 8/2023. Based on medical records, we assessed nursing activities before, during, and after the intervention, focusing on the procedure's success and safety. Results: 59.5% of patients underwent one-time drainage, with an average fluid volume of 69.5 ml. The procedure was safe, with 21.5% experiencing pain at the needle puncture site and no severe complications. Nursing care and health education activities yielded positive results in many aspects, including complication monitoring and timely management (95.0%); medication dispensing and adherence (91.8%); dietary, lifestyle, and rest guidance (91.7%); and proper patient medication education (98.3%). However, some aspects, such as changing bed linens and assisting with personal hygiene (83.4%), counseling for patient understanding of their condition, psychological care, and reassurance (85.7%), showed limited results. Conclusion: Nursing activities improve the effectiveness and safety of hepatic abscess drainage. Therefore, regular training and quality improvement in nursing practices are needed to enhance treatment outcomes further.