Journal of Modern Nursing MedicineJPCNS

Summarizes the experience of nursing cooperation for internal and external stent replacement in a special retrograde cholangiopancreatography (ERCP) operation. The key points of nursing include preoperative cognitive education combined with negative emotion counseling; cooperation with antegrade guidewire insertion; cooperation with removal of traction guidewire; cooperation with retrograde biliary stent placement; PTCD pipeline management; intraoperative body position change and management; intraoperative respiratory observation and treatment. Giving patients preoperative cognitive education can improve their understanding of the disease and surgery and reduce the fear caused by the unknown; psychological counseling can improve the negative emotions of patients and keep them optimistic about the treatment of the disease; cooperation with antegrade guidewire insertion can ensure the smooth insertion of the guidewire and reduce the pain of patients; and the application of nursing measures such as cooperation with removal of traction guidewire, cooperation with retrograde biliary stent placement, PTCD pipeline management, intraoperative body position change and management, intraoperative respiratory observation and treatment, etc., is of great significance for the smooth progress of the operation, the safety of the operation and the improvement of surgical prognosis. The patient had the drainage tube removed during the operation, and the biliary stent was successfully placed. He was discharged from the hospital on the fifth day after the operation. During the 6-month follow-up, his liver function index was acceptable and his weight increased by 2.2 kg.

Special retrograde pancreaticobiliary angiography; Internal and external stent replacement; Nursing cooperation