临床护理路径对肝硬化并消化道出血患者护理的效果及肝功能的影响  

The Effect of Clinical Nursing Path on the Nursing Effect and Liver Function of Patients with Liver Cirrhosis and Gastrointestinal Bleeding

作　　者：王颖[1] 王兰英[1] WANG Ying;WANG Lan-ying(Department of Hepatobiliary Surgery,Tianjin First Central Hospital,Tianjin 300192,China)

机构地区：[1]天津市第一中心医院肝胆外科,天津300192

出　　处：《医学信息》2021年第13期181-183,共3页Journal of Medical Information

基　　金：天津市科技计划项目(编号:19ZXDBSY00010)。

摘　　要：目的研究临床护理路径在肝硬化并消化道出血患者护理中的效果。方法选取2019年10月-2020年10月我院接诊的74例肝硬化并消化道出血患者为研究对象,采用随机数字表法分为对照组和观察组,各37例。对照组采用常规护理,观察组实施临床护理路径干预,比较两组静脉通道建立时间、血压恢复正常时间、再出血发生率、肝功能指标[总胆红素(TBiL)、天冬氨酸氨基转移酶(AST)、丙氨酸氨基转移酶(ALT)、白蛋白(ALB)]、并发症发生率以及护理满意度。结果观察组静脉通道建立时间、血压恢复时间均短于对照组,差异有统计学意义(P<0.05);观察组再出血发生率为5.41%,低于对照组的16.21%,差异有统计学意义(P<0.05);观察组AST、ALT、TBiL低于对照组,ALB高于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为8.10%,低于对照组的18.92%,差异有统计学意义(P<0.05);观察组护理满意度为97.29%,高于对照组的83.78%,差异有统计学意义(P<0.05)。结论临床护理路径可提高肝硬化并消化道出血患者急救速度,快速止血,缩短血压恢复时间,降低再出血发生率,改善肝功能,同时可预防并发症发生几率,提高护理满意度。Objective To study the effect of clinical nursing path in the nursing of patients with liver cirrhosis and gastrointestinal bleeding.Methods A total of 74 patients with liver cirrhosis and gastrointestinal hemorrhage who were admitted to our hospital from October 2019 to October 2020 were selected as the research objects.They were divided into control group and observation group by random number table method,with 37 cases in each group.The control group received routine nursing care,and the observation group implemented clinical nursing pathway intervention.The two groups compared the establishment time of venous access,the time to return to normal blood pressure,the incidence of rebleeding,and liver function indexes[total bilirubin(TBiL),aspartate amino transfer enzyme(AST),Alanine Aminotransferase(ALT),Albumin(ALB)],complication rate and care satisfaction.Results The establishment time of venous channel and blood pressure recovery time of the observation group were shorter than those of the control group,the difference was statistically significant(P<0.05);The incidence of rebleeding in the observation group was 5.41%,which was lower than 16.21%in the control group,the difference was statistically significant(P<0.05);The observation group AST,ALT,TBiL were lower than the control group,and ALB was higher than the control group,the difference was statistically significant(P<0.05);The incidence of complications in the observation group was 8.10%,which was lower than 18.92%in the control group,the difference was statistically significant(P<0.05);The nursing satisfaction of the observation group was 97.29%,which was higher than 83.78%of the control group,the difference was statistically significant(P<0.05).Conclusion The clinical nursing path can increase the speed of first aid for patients with liver cirrhosis and gastrointestinal bleeding,stop bleeding quickly,shorten blood pressure recovery time,reduce the incidence of rebleeding,improve liver function,prevent complications and improve nursing satisfaction.

关 键 词：临床护理路径 肝硬化 消化道出血 肝功能 

分 类 号：R473[医药卫生—护理学]