护理风险管理在慢性乙型肝炎肝衰竭患者中的应用效果  

Nursing Risk Management in Patients with Chronic Hepatitis B Liver Failure

作　　者：刘雯 LIU Wen(Department of Hepatology,the Sixth People's Hospital,Dalian 116033,China)

机构地区：[1]大连第六人民医院肝病九科,辽宁大连116033

出　　处：《中国医药指南》2023年第2期186-188,189,共4页Guide of China Medicine

摘　　要：目的 分析慢性乙型肝炎肝衰竭患者实施护理风险管理的作用。方法 选择在本院进行慢性乙型肝炎肝衰竭治疗的86例患者为研究样本,其住院治疗时间均在2018年8月至2019年8月,采取随机数字表法将其分成常规组以及试验组,每组43例。予以常规组患者基础护理措施,予以试验组患者基础护理以及护理风险管理。对比两组护理服务满意度、并发症出现情况、住院时间、护理质量控制得分情况。结果 试验组与常规组患者护理服务满意度分别是97.67%、79.07%(P<0.05);试验组在肝性脑病、消化道出血、感染以及肝肾综合征方面的发生率均低于常规组(P<0.05)。试验组与常规组患者住院时间分别是(11.06±2.01)d、(13.68±2.26)d(P<0.05)。试验组与常规组患者护理质量控制得分依次是(95.87±2.04)分、(90.05±2.13)分(P<0.05)。结论 慢性乙型肝炎肝衰竭患者实施护理风险管理可提升患者满意度,降低并发症发生率,缩短住院时间,提升护理质量水平,有利于促进患者机体恢复。Objective To analyze the effect of nursing risk management in patients with chronic hepatitis B liver failure. Methods A total of 86patients with chronic hepatitis B liver failure treated in our hospital were selected as the study samples, and their hospitalization treatment time was between August 2018 and August 2019. They were divided into conventional group and experimental group with 43 patients in each group by random numerical array. The routine group was given basic nursing measures, the experimental group was given basic nursing and nursing risk management. Care service satisfaction, complications, hospitalization duration, and nursing quality control scores were compared in each group.Results The patients’ satisfaction of nursing service was 97.67% in the experimental group and 79.07% in the conventional group(P<0.05);the incidence of hepatic encephalopathy, gastrointestinal hemorrhage, infection and hepatorenal syndrome in the experimental group was lower than that in the conventional group(P<0.05). The duration of hospitalization in the experimental and conventional group was(11.06±2.01) days and(13.68±2.26) days(P<0.05). Quality control scores in the experimental and conventional group were(95.87±2.04) and(90.05±2.13)(P<0.05).Conclusion The implementation of nursing risk management for patients with chronic hepatitis B and liver failure can improve patient satisfaction,reduce the incidence of complications, shorten the hospitalization time, improve the quality of care, and is conducive to promoting the body recovery of patients.

关 键 词：肝衰竭 慢性乙型肝炎 护理风险管理 肝肾综合征 

分 类 号：R473.5[医药卫生—护理学] R575[医药卫生—临床医学]