肝硬化合并肝源性糖尿病患者的护理  

Nursing Care for Patients with Cirrhosis Complicated with Hepatogenic Diabetes

作　　者：谢芳 XIE Fang(Dalian Public Health Clinical Center(Dalian Sixth People's Hospital),Dalian 116031,China)

机构地区：[1]大连市公共卫生临床中心(大连市第六人民医院),辽宁大连116031

出　　处：《中国医药指南》2022年第3期162-165,共4页Guide of China Medicine

摘　　要：目的观察肝硬化合并肝源性糖尿病患者的护理效果。方法选取2018年3月至2019年6月入我院治疗的76例肝硬化合并肝源性糖尿病患者为此次研究对象,依据随机数字表法,分为参照组与研究组,分别实施常规护理与循证护理,对比其血糖与肝功能指标、HAMD、HAMA评分、并发症总发生率以及护理满意度。结果研究组的血糖与肝功能指标均优于参照组,HAMD、HAMA评分较参照组明显下降,并发症总发生率较参照组明显降低,护理满意度较参照组显著升高,差异显著(P<0.05)。结论对肝硬化合并肝源性糖尿病患者实施询证护理的效果要明显优于常规护理,不仅可以有效降低患者血糖水平,优化肝功能指标,同时也能够有效消除患者负性情绪,降低并发症发生风险,显著提高患者护理满意度,改善预后。Objective To observe the nursing effect of patients with liver cirrhosis and hepatogenic diabetes.Methods Seventy-six patients with liver cirrhosis and hepatogenic diabetes who were admitted to our hospital from March 2018 to June 2019 were selected as the subjects of this study.According to the random number table method,they were divided into a reference group and a study group,and routine nursing was performed respectively.Compared with evidence-based nursing,blood glucose and liver function indexes,HAMD,HAMA scores,total incidence of complications,and nursing satisfaction were compared.Results The blood glucose and liver function indexes of the study group were better than those of the reference group.The HAMD and HAMA scores of the study group were significantly lowed than those of the reference group,the total incidence of complications was significantly lowed than those of the reference group,and the nursing satisfaction was significantly higher than those of the reference group,the difference was significant(P<0.05).Conclusion The effect of inquiring care for patients with liver cirrhosis and hepatogenic diabetes is significantly better than that of conventional care.It can not only effectively reduce the patient's blood sugar level and optimize liver function indexes,but also effectively eliminate the patient's negative emotions and reduce the occurrence of complications.Risk,significantly improve patient care satisfaction and improve prognosis.

关 键 词：肝硬化 肝源性糖尿病 循证护理 

分 类 号：R473.5[医药卫生—护理学] R657.31[医药卫生—临床医学]