Transitional Care for Patients With Portal Hypertension: A Multicenter Study of Intervention for Post-TIPS Patients. (May 2023)

• Record Type: Journal Article
• Authors: Yang, Rumei; Xu, Yin; Hou, Weiwei; Wang, Ling; Xiao, Shuping; Li, Chunhong; Shao, Hongyan; Fei, Xiaoyan; Wang, Zhongmin
• Is Part Of: Clinical nursing research. Volume 32:Number 4(2023)
• Page Start: 785
• Page End: 796
• Publication Date: 2023-05
• Subjects: transjugular intrahepatic portosystemic shunt (TIPS) -- transitional care -- compliance behaviors -- hepatic function; Nursing -- Research -- Periodicals; Nursing -- Periodicals; Clinical medicine -- Research -- Periodicals; 610.73
• DOI: 10.1177/10547738221112746
• Languages: English
• ISSNs: 1054-7738

Abstract

To explore the application effect of transitional nursing in patients with TIPS. A total of 368 patients were allocated to control group (conventional care) and intervention group (conventional care combined with transitional care). The Child–Pugh scores, blood ammonia levels, compliance behavior, medication compliance, and adverse event incidence rates were compared at 1, 3, 6, 9, and 12 months post-TIPS. There were significant differences in compliance behavior scores, Child–Pugh scores for group effects, time effects, and group × time interaction between the two groups at 1, 3, 6, 9, and 12 months post-TIPS, significant differences in blood ammonia levels at 9 months, and incidence of postoperative adverse events at 12 months after TIPS. Post-TIPS transitional care interventions increased patients' access to scientifically informed nursing, significantly improved patients' compliance behavior and health and decreased the incidence of postoperative adverse events.