肝硬化失代偿期患者引入综合护理的临床效果  

Clinical Effect of Comprehensive Nursing for Patients with Decompensated Cirrhosis

作　　者：盛男 SHENG Nan(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14期41-44,共4页Guide of China Medicine

摘　　要：目的探究肝硬化失代偿期患者引入综合护理的临床应用价值。方法此次研究选取大连市第六人民医院2019年4月至2020年5月收治的62例肝硬化失代偿期患者,使用随机数字表法的方式将62例肝硬化失代偿期患者分为两组,对照组31例采取常规护理模式,观察组31例采取常规护理模式联合综合护理模式,采用统计学方法软件对相关数据进行分析与比较,对比两组症状体征、心理状态、生存质量、肝功能指标。结果观察组腹胀9.68%、尿少6.45%、乏力3.23%、双下肢水肿3.23%相比对照组32.26%、32.26%、29.03%、25.81%明显较低(P<0.05)。两组护理前汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评分对比相当(P>0.05)。观察组护理后HAMA、HAMD评分相比对照组明显较低(P<0.05)。两组世界卫生组织生存质量评定量表简表(WHOQOL)评分对比相当(P>0.05);观察组护理后WHOQOL评分相比对照组明显较高(P<0.05)。两组护理前谷丙转氨酶(ALT)、谷草转氨酶(AST)、总蛋白(TP)水平对比相当(P>0.05);观察组护理后ALT、AST水平相比对照组明显较低,且TP水平相比对照组明显较高(P<0.05)。结论对肝硬化失代偿期患者实施综合护理具有良好的临床应用价值,有利于改善患者的症状体征、心理状态、肝功能,提升患者的生存质量。Objective To explore the clinical application value of comprehensive nursing for patients with decompensated cirrhosis.Methods In this study,62 patients with decompensated liver cirrhosis treated in Dalian Sixth People's Hospital from April 2019 to may 2020 were selected,62 patients with decompensated liver cirrhosis were divided into two groups by random number table method,31 patients in the control group were treated with routine nursing mode,and 31 patients in the observation group were treated with routine nursing mode combined with comprehensive nursing mode.The relevant data were analyzed and compared by statistical software to compare the symptoms and signs of the two groups Mental state,quality of life and liver function.Results Compared with 32.26%,32.26%,29.03%and 25.81%of the control group,the observation group had 9.68%femoral distension,6.45%oliguria,3.23%fatigue and 3.23%edema of both lower limbs(P<0.05).The scores of Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale(HAMD)before nursing were similar between the two groups(P>0.05).The scores of HAMA and HAMD in the observation group were significantly lower than those in the control group(P<0.05).The scores of WHO quality of life rating scale(WHOQOL)were similar between the two groups(P>0.05);The WHOQOL score of the observation group was significantly higher than that of the control group(P<0.05).The levels of alanine aminotransferase(ALT),aspartate aminotransferase(AST)and total protein(TP)in the two groups were similar before nursing(P>0.05);After nursing,the levels of ALT and AST in the observation group were significantly lower than those in the control group,and the level of TP was significantly higher than that in the control group(P<0.05).Conclusion The implementation of comprehensive nursing for patients with decompensated liver cirrhosis has good clinical value,which is conducive to improve the symptoms and signs,mental state and liver function of patients,and improve the quality of life of patients.

关 键 词：肝硬化失代偿期 综合护理 常规护理 生存质量 肝功能 

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