延续护理在慢性肝病患者护理中的临床效果研究  

Clinical Effect of Continuous Nursing in the Nursing of Patients with Chronic Liver Disease

作　　者：于莉莉 陈宗燕 YU Li-li;CHEN Zong-yan(Outpatient Department of Weihai Chest Hospital,Weihai,Shandong Province,264200 China;Dean's Office of Weihai Chest Hospital,Weihai,Shandong Province,264200 China)

机构地区：[1]威海市胸科医院门诊部,山东威海264200 [2]威海市胸科医院院长办公室,山东威海264200

出　　处：《中外医疗》2020年第3期142-143,149,共3页China & Foreign Medical Treatment

摘　　要：目的对慢性酒精性肝病患者护理中延续护理的效果进行分析和研究。方法方便选择该院在2017年1月-2018年6月期间收治的90例慢性酒精性肝病患者作为研究对象,按照病历单双号将其划分为两组,对照组45例,观察组45例。采用常规护理对对照组予以护理,在此基础上,采用延续性护理对观察组予以护理。对两组患者的护理效果予以分析和比较。结果对照组患者中共计有16例完全依从、16例部分依从、13例不依从,总依从率为71.1%;观察组患者中共计有28例完全依从、15例部分依从、2例不依从,总依从率为95.6%。观察组患者的总依从率明显高于对照组,组间差异有统计学意义(χ~2=13.726,P<0.05)。对照组患者2个月的戒酒率为82.2%,4个月的戒酒率为62.2%,6个月的戒酒率为51.1%;观察组患者2个月的戒酒率为100.0%,4个月的戒酒率为86.7%,6个月的戒酒率为77.8%。观察组2个月、4个月和6个月的戒酒率均明显高于对照组,组间差异有统计学意义(χ~2=8.094、10.327、11.455,P<0.05)。结论采用延续性护理对慢性酒精性肝病患者予以护理具有很好的效果,能够极大提升患者的治疗依从性,帮助患者戒酒。Objective To analyze and study the effect of continuous nursing in patients with chronic alcoholic liver disease.Methods Convenient selection of 90 patients with chronic alcoholic liver disease admitted to the hospital from January 2017 to June 2018 were enrolled in the study.According to the medical records,they were divided into two groups,45 in the control group and 45 in the observation group.The control group was treated with routine care.On this basis,the observation group was treated with continuous care.The nursing effects of the two groups of patients were analyzed and compared.Results A total of 16 patients in the control group were completely compliant,16 patients were partially compliant,13 patients were not compliant,and the total compliance rate was 71.1%.A total of 28 patients in the observation group were completely compliant,15 patients were partially compliant,and 2 patients were not compliant.The total compliance rate is95.6%.The total compliance rate of the observation group was significantly higher than that of the control group.The difference between the two groups was statistically significant(χ~2=13.726,P<0.05),which was statistically significant.In the control group,the abstinence rate was 82.2%in 2 months,the abstinence rate in 4 months was 62.2%,the abstinence rate in 6 months was 51.1%,and the abstinence rate in the observation group was 100.0%in 2 months.The 4-month abstinence rate was 86.7%,and the 6-month abstinence rate was 77.8%.The alcohol withdrawal rate of the observation group at 2 months,4 months and 6 months was significantly higher than that of the control group.The difference between the two groups was statistically significant(χ~2=8.094,10.327,11.455,P<0.05),which was statistically significant.Conclusion The use of continuous care for patients with chronic alcoholic liver disease has a good effect,which can greatly improve the patient’s treatment compliance,help patients abstain from alcohol.

关 键 词：慢性酒精性肝病 延续护理 常规护理 治疗依从性 戒酒率 效果 

分 类 号：R47[医药卫生—护理学]