预防食管胃底静脉曲张破裂出血患者发生肝性脑病的护理  

Nursing Care to Prevent Hepatic Encephalopathy in Patients with Rupture of Esophageal and Gastric Varices

作　　者：尚晓云 SHANG Xiaoyun(Dalian Public Health Clinical Center(Dalian Sixth People's Hospita),Dalian 116000,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116000

出　　处：《中国医药指南》2022年第22期175-177,共3页Guide of China Medicine

摘　　要：目的分析预防食管静脉曲张破裂出血患者发生肝性脑病的护理方法。方法将我院收治的70例食管静脉曲张破裂出血的患者作为研究对象,收治的年限为2018年2月至2019年5月,按照信封抽组的方式将其分为两组,常规组(接受常规组护理干预)和干预组(接受预见性护理干预),每组各35例。将两组干预后的并发症发生率、护理满意度进行比较。结果经分析,干预组的并发症发生率(5.71%)较常规组(22.86%)低(P<0.05);干预组的护理满意度(94.29%)较常规组(71.43%)高(P<0.05)。结论给予食管胃底静脉曲张破裂出血患者预见性护理,可以有效预防肝性脑病的发生,提高患者对护理服务的满意度,效果显著。Objective Analysis of nursing methods for preventing hepatic encephalopathy in patients with esophageal variceal bleeding.Methods Seventy patients with esophageal variceal rupture and bleeding admitted to our hospital were taken as the research objects,and the admission period was from February 2018 to May 2019.They were divided into two groups according to the way of envelope-drawing,the conventional group(receiving nursing intervention in the conventional group)and the intervention group(receiving predictive nursing intervention),with 35 cases in each group.The complication rate and nursing satisfaction after intervention were compared between the two groups.Results The complication rate of the intervention group was 5.71%,lower than that of the conventional group(22.86%)(P<0.05).The nursing satisfaction of the intervention group was 94.29%higher than that of the conventional group(71.43%)(P<0.05).Conclusion Predictive nursing for patients with esophageal and gastric varices rupture and hemorrhage can effectively prevent the occurrence of hepatic encephalopathy,improve the satisfaction of patients with nursing services,the effect is significant.

关 键 词：肝性脑病 食管胃底静脉曲张破裂 预见性护理 

分 类 号：R473.5[医药卫生—护理学]