不同护理干预对重型肝炎患者疗效的影响  

Different nursing intervention efficacy for the treatment of patients with severe hepatitis

作　　者：袁彩琴[1] 吴标龙 彭国平[3] 

机构地区：[1]杭州市肿瘤医院消化内科,浙江杭州310002 [2]杭州市急救中心,浙江杭州310021 [3]浙江大学医学院附属第一医院传染病研究所,浙江杭州310003

出　　处：《中国现代医生》2012年第29期108-110,共3页China Modern Doctor

基　　金：国家自然科学基金(30901267)

摘　　要：目的比较不同护理干预措施在预防和检测早期并发症的疗效区别,提高患者治疗效果上的差异,为新的护理工作模式的开展提供理论依据。方法将2010年1月～2011年1月收治的重型肝炎患者作为对照组,将2011年2月～2012年2月收治的重型肝炎患者作为实验组,通过不同的护理干预措施后,比较两组患者严重并发症的发生率及治疗效果。结果观察组肝性脑病、消化道出血、感染发生率明显低于对照组(P<0.01),治疗效果明显高于对照组(P<0.01)。结论新的护理干预措施能切实加强基础护理及专科护理的落实,有效降低重型肝炎患者的严重并发症的发生率,提高治疗效果。同时,为新的护理工作模式即责任包干制在临床的顺利推广奠定了坚实的理论基础。Objective To provide theoretical evidences for noval nursing work pattern by comparing the treatment effect, prevention and early diagnosis of complications of patients with fulminant hepatitis between different nursing groups. Methods Patients with fulminant hepatitis admitted from January 2010 to January 2011 were enrolled in control group, pa- tients with fulminant hepatitis admitted from February 2011 to February 2012 were enrolled in nursing intervention group, the treatment effect and incidence of severe complications were compared between these two groups. Results The inci- dences of encephalopathy, gastrointestinal hemorrhage and infection of nursing intervention group were significantly lower than control group （P 〈 0.01）, and the treatment effect of nursing intervention group was obviously better than control group （P 〈 0.01）. Conclusion Noval nursing interventional methods can practically promote the implement of the basic nursing and special nursing, obviously reduce the incidence of severe complications and improve the treatment effects, therefore, establish substantially theoretical foundation for successfully spread of noval nursing work pattern （responsibility contract） in clinical practice.

关 键 词：重型肝炎 疗效 护理干预 

分 类 号：R473.5[医药卫生—护理学]