Authors (including presenting author) :
Chu TH(1), Tong KY(1), Chan KY(1), Mak WH(1), Chui ST(1)
Affiliation :
Surgical Department, Prince of Wales Hospital
Introduction :
It was evidenced that the insertion of percutaneous biliary drainage was a psychological trauma to most of the surgical patients with hepatobiliary and pancreatic diseases. Patients were not only suffered from illness, but also had great difficulties in managing the drainage tube and bag. They felt inconvenient and embarrassed when going outdoors. Thus, it was crucial that nurses should address the issues without hesitation. A quality improvement program was designed in the hope of restoring patients’ self-esteem and improving their quality of life with the present of the drainage system.
Objectives :
1. To prevent accidental pulling and dislodgement of the drains.
2. To minimize twisting or looping of the drainage system
3. To enhance patient’s confidence to go outdoors with the drainage tube and bag
4. To restore patient’s self-esteem and dignity and continue their daily activities with minimal disturbance
Methodology :
1. A “fortune bag” was specially designed by specialty nurse for carrying the biliary drainage bag when going outdoors. 1-2 fortune bags were given to patients with newly inserted PTBD/PTC before discharging home.
2. A tailor made video was broadcast to introduce the fortune bag and demonstrate the technique of emptying collection from the drainage bag.
3. A set of questionnaire was designed for evaluating the implementation of the program. Patients were asked to fill in the questionnaire after watching the related video.
Result & Outcome :
Total 60 “fortune bags” were distributed to 45 patients. Questionnaires were collected. 92.5% of patients agreed that the “fortune bag” could prevent accidental pulling and dislodgement of the drains. 90% of patients stated that the “fortune bag” could reduce their embarrassment and motivate them to go outdoors. Lastly, 90% of them agreed that they felt satisfied with the quality improvement program. The result was very encouraging. The mission of restoring dignity and improving quality of life of patients were successfully achieved.
