{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T23:15:56Z","timestamp":1782342956433,"version":"3.54.5"},"reference-count":39,"publisher":"Baishideng Publishing Group Inc.","issue":"19","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World J Clin Cases"],"abstract":"<jats:p>BACKGROUND<\/jats:p>\n          <jats:p>Percutaneous hepatobiliary drainage (PTCD) is an effective method for the treatment of biliary obstruction and other diseases, but postoperative complications are still one of the important problems faced by patients. Continuous nursing is a comprehensive nursing model that plays an important role in postoperative recovery. The purpose of this study was to investigate the effect of continuous nursing on the incidence of complications in patients after PTCD surgery through meta-analysis and to evaluate its efficacy and safety.<\/jats:p>\n          <jats:p>AIM<\/jats:p>\n          <jats:p>To evaluate the effect of extended nursing on the incidence of complications in discharged patients after percutaneous transhepatic biliary drainage (PTBD).<\/jats:p>\n          <jats:p>METHODS<\/jats:p>\n          <jats:p>Randomized controlled studies on PTBD postdischarge extended care were identified in the CNKI, Wanfang, VIP, CBM, PubMed, Cochrane Library, Embase, Web of Science, and other databases. The quality of the included studies was evaluated using the Joanna Briggs Institute of Australia literature quality evaluation tool, and a meta-analysis of the included studies was performed with RevMan 5.4 software.<\/jats:p>\n          <jats:p>RESULTS<\/jats:p>\n          <jats:p>Finally, 9 studies were included, with a total sample size of 854 patients (425 patients in the control group and 429 patients in the intervention group). Meta-analysis revealed that extended care effectively reduced biliary tract infection (RR: 0.42, 95%CI: 0.30-0.57), puncture wound infection (RR: 0.19, 95%CI: 0.06-0.65), catheter protrusion or displacement in discharged patients after PTBD (RR: 0.31, 95%CI: 0.18-0.54), catheter blockage (RR: 0.23, 95%CI: 0.13-0.42), skin infection around the drainage tube (RR: 0.30, 95%CI: 0.12-0.77), and catheter-related readmissions (RR: 0.34, 95%CI: 0.18-0.65) (P  &lt; 0.05).<\/jats:p>\n          <jats:p>CONCLUSION<\/jats:p>\n          <jats:p>Compared with conventional discharge care, extended care can effectively reduce the occurrence of complications such as biliary tract infection, puncture wound infection, catheter prolapse or displacement, catheter blockage, skin infection around the drainage tube, and catheter-related readmission in discharged patients after PTBD.<\/jats:p>","DOI":"10.12998\/wjcc.v12.i19.3898","type":"journal-article","created":{"date-parts":[[2024,6,28]],"date-time":"2024-06-28T17:15:24Z","timestamp":1719594924000},"page":"3898-3907","source":"Crossref","is-referenced-by-count":4,"title":["Efficacy and safety analysis of continued nursing of complications in discharged patients after percutaneous transhepatic biliary drainage"],"prefix":"10.12998","volume":"12","author":[{"given":"Yu-Lin","family":"Huang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meng-Chang","family":"Lin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bai-Yun","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2060","published-online":{"date-parts":[[2024,7,6]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","DOI":"10.1007\/s00270-022-03347-0"},{"key":"B2","doi-asserted-by":"publisher","DOI":"10.1259\/bjr.20200879"},{"key":"B3","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v21.i44.12628"},{"key":"B4","doi-asserted-by":"publisher","DOI":"10.3390\/vaccines12020186"},{"key":"B5","doi-asserted-by":"publisher","DOI":"10.12659\/MSM.933889"},{"key":"B6","unstructured":"Yan CM, Wang X, Xie HY. [Effect of telephone intervention on recovery and quality of life of patients undergoing percutaneous transcatheter hepatobiliary drainage]. Huli Guanli Zazhi 2012; 12: 4255-4427"},{"key":"B7","unstructured":"Mai LM, Li XY, Li FH, Tang YK, Huang Y, Feng HG, Zhuang YZ, Huang C, Chen HW. [Evaluation of the efficacy of extended care dry preconditioning in discharged patients with PTCD tube]. Zhonghua Jieru Fangshexue Dianzi Zazhi 2015; 3: 225-217"},{"key":"B8","unstructured":"Yu LH, Ou TY, Du HM, Lin YX. [Effect of continuous care on complications of patients with PTCD tube at home after discharge].  Guoji Yiyao Weisheng Daobao 2016; 22: 3404-3406"},{"key":"B9","unstructured":"Ou TY, Yu LH, Lin YX, Huang XH. [Observation on the effect of mobile platform continuous care mode for discharged patients with PTCD tube]. Hubei Keji Xueyuan Xuebao (Medical Edition) 2017; 31: 530-532"},{"key":"B10","unstructured":"Ji CH, Xu XY, Wang N, Lin HY, Yu HJ. [Application of \"Hospital-Community-family\" linkage continuous nursing model in patients with percutaneous hepatic puncture biliary drainage]. Zhonghua Xiandai Huli Zazhi 2018; 24: 4421-4125"},{"key":"B11","unstructured":"Chen L, Jiang Y. [Effects of continuous nursing on knowledge awareness, complications and nursing satisfaction of patients with PTCD drainage]. Guoji Hulixue Zazhi 2019; 38: 2172-2174"},{"key":"B12","unstructured":"Huang DQ, Zhang RJ, Li XP, Chen Y. [Application of two-dimensional code in patients with percutaneous liver puncture biliary drainage]. Jieru Fangshexue Zazhi 2019; 28: 189-1191"},{"key":"B13","unstructured":"Wang LL, Huang JX, Chen J, Lu Y, Zhang LN, Han LY. [Construction and application of wechat platform for pipeline maintenance of patients with percutaneous hepatic puncture biliary drainage]. Jieru Fangshexue Zazhi 2021; 30: 949-951"},{"key":"B14","unstructured":"Li N, Li ZK, Tang M. 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