Hepatobiliary surgery mainly studies acute liver failure caused by hepatocellular carcinoma, intrahepatic bile duct stones, posthepatitic cirrhosis and severe hepatitis, which is a major disease that seriously threatens the health of Chinese people. Below, I searched and sorted out the nursing papers of hepatobiliary surgery for you, hoping to help you.

Discussion on nursing methods of hepatobiliary surgery

Patients in hepatobiliary surgery have many requirements for clinical nursing, many matters needing attention, which are more difficult, the nursing work is heavy, and there are certain risks in the nursing process. If the quality of hospital nurses is not high, it will aggravate the risk problem in the nursing process. Medical accidents and nursing disputes in hepatobiliary surgery are often caused by nurses' quality problems, medical equipment problems and environmental problems. Therefore, hepatobiliary surgery should pay attention to risk management and disposal, prevent medical disputes in hospitals as much as possible, and improve nursing quality.

The development of society has brought great changes to people's lives. People's demands for life are getting higher and higher, and they pay more and more attention to the quality of life. They come to the hospital for treatment when they are sick, and the requirements for nursing services are more demanding, so the pressure on nursing services is increasing. At present, the quality of hospital nurses is uneven, and some nurses lack the awareness of nursing safety, which leads to the unsatisfactory quality of patient care. In addition, due to the influence of equipment and environment, the nursing quality of hepatobiliary surgery has never been improved, and the work of nurses has also been affected. This paper briefly analyzes the nursing methods of patients with hepatobiliary surgery, providing some help for clinical nursing service and making nursing work more perfect.

1 problems existing in nursing of hepatobiliary department

1. 1 Problems of nursing staff The nursing work of hepatobiliary surgery is rather heavy, and the pressure of nursing staff is relatively great. Nurses face some critically ill patients, and at the same time there will be complications, so nursing is not easy. The local nursing staff do not know enough about nursing safety, and their work is sloppy and easy to make mistakes, which leads to patients' dissatisfaction. However, due to the influence of work pressure and environment, nurses are prone to have emotions when facing patients' dissatisfaction, which leads to patients' complaints and nurse-patient disputes. There is also a limited degree of unfamiliar operation of nursing staff, which has an impact on patient rescue, or the use of drugs is not sensitive enough, resulting in the quality of nursing being criticized by patients.

1.2 The problem patients in hepatobiliary surgery need long-term hospitalization because of their serious illness. Their anxiety and anxiety, coupled with the relatively high legal awareness of the general public at present, have also led to a direct increase in the number of nursing complaints. When there are problems in nursing, patients and their families will persevere, so disputes are often difficult to prevent.

1.3 Problems in medical devices and nursing management. Problems in medical equipment and management have led to problems in the quality of nursing services. Hospital medical devices are not maintained and repaired in time, which leads to problems in use and affects medical services. This is a sign of poor hospital management and imperfect system. Nurses are not trained to deal with unexpected problems, which makes them incompetent for nursing work.

1.4 New social problems. The medical system has a certain influence on medical staff. In addition, the current medical technology is relatively advanced, and medical risks continue to exist. Therefore, it is more difficult to obtain the complete satisfaction of patients and their families, and the problems and conflicts between nurses and patients are more or less there.

2 nursing countermeasures

2. 1 Nurses should enhance their sense of obligation and improve their professional skills. Nurses can't do a good job of nursing if they lack a sense of responsibility. It is necessary to strengthen the professional ethics education of nursing staff, improve their understanding of their obligations, and think for patients. We should not only do a good job in their physical care, but also give them more psychological comfort and care to eliminate their bad emotions.

2.2 Do a good job of nursing drainage tube in hepatobiliary surgery, which is a key issue. Choosing a suitable drainage tube can also improve the curative effect and effectively reduce the incidence of complications. The rehabilitation of patients undergoing hepatobiliary surgery is directly related to the nursing of drainage tube. Pay attention to the following issues when nursing drainage tubes:

2.2. 1 Nurses should operate in strict accordance with aseptic technique, and the height of drainage tube should be lower than the exit plane to prevent patients from retrograde reflux infection.

2.2.2 The position of the drainage tube should be fixed to prevent twisting, squeezing and folding.

2.2.3 Carefully check the color, quantity, taste and quality of drainage fluid. The common color is red before operation and will turn yellow later. If the color is unclear and the clear fluid is abnormal, clarify that the patient's physical condition is abnormal and notify the doctor immediately. If the amount of drainage per hour is more than 50 ml and it turns red for three consecutive hours, it is abnormal. However, if the drainage volume suddenly decreases and the patient has fever with abdominal distension, it is necessary to check whether the drainage tube can attack infarction or disperse immediately.

2.2.4 Treat patients with enough patience, listen carefully to patients' complaints, and carefully evaluate the causes and nature of patients' pain.

3 finished language

Nursing work has a high risk, because it is related to the patient's condition and recovery, and even to the safety of life. If there is not a strong sense of prevention, nurses are prone to job burnout, unable to deal with problems in their work in time, unable to use their leisure time to enrich their professional knowledge and improve their skills, resulting in the quality of nursing failing to keep up with the development of medical care and society. Nurses need to learn to sum up and reflect on themselves. By summing up and reflecting, we can find problems and deal with them, thus improving the quality of nursing.