多学科合作护理对肝硬化食管-胃底静脉曲张破裂出血患者病情控制及自我管理的影响  

Effect of nursing based on multidisciplinary collaboration for disease control and self-management of patients with liver cirrhosis complicated with esophageal gastric-fundus variceal bleeding

作　　者：杨利娟 YANG Li-juan(Department of Endocrinology and Gastroenterology,NO.2 People s Hospital of Fuyang City,Fuyang 236000,Anhui,China)

机构地区：[1]阜阳市第二人民医院内分泌消化科,安徽阜阳236000

出　　处：《川北医学院学报》2023年第6期863-866,共4页Journal of North Sichuan Medical College

摘　　要：目的:研究多学科合作护理对肝硬化并发食管-胃底静脉曲张破裂出血(EGVB)患者病情控制及自我管理的影响。方法:根据不同护理方案将110例肝硬化并发EGVB患者分为对照组(n=55,常规护理)与观察组(n=55,多学科合作护理)。比较两组患者出血次数、护理前后的肝功能指标[总胆红素(TBIL)、谷草转氨酶(AST)、丙氨酸氨基转移酶(ALT)]与自我管理能力,并比较两组患者住院时间、并发症、术后3个月的再出血率与病死率。结果:护理后,两组患者血清TBIL、AST、ALT指标均降低(P<0.05),且观察组TBIL、AST指标低于对照组(P<0.05),观察组出血次数少于对照组(P<0.05)。两组患者自我管理能力量表各维度评分增加(P<0.05),且观察组高于对照组(P<0.05)。观察组住院时间、并发症总发生率小于对照组(P<0.05)。两组患者术后3个月再出血率、病死率比较,差异均无统计学意义(P>0.05)。结论:多学科合作护理可减少肝硬化并发EGVB患者出血次数,改善肝功能,同时提高自我管理能力,降低并发症风险。Objective:To analyze the influence of nursing based on multidisciplinary collaboration for disease control and self-management of patients with liver cirrhosis with esophageal gastric-fundus variceal bleeding(EGVB).Methods:110 patients with liver cirrhosis who received EGVB treatment were divided into control group(n=55,routine nursing)and observation group(n=55,nursing based on multidisciplinary cooperation)according to different nursing programs.The number of bleeding,liver function indicators[total bilirubin(TBIL),aspartate aminotransferase(AST),alanine aminotransferase(ALT)]and self-management ability before and after nursing were compared between the two groups.The length of hospital stay,complications,rebleeding rate and mortality 3 months after operation were compared between the two groups.Results:After nursing,the indexes of TBIL,AST and ALT decreased in both groups(P<0.05),and the indexes of TBIL and AST in the observation group were lower than those of the control group(P<0.05).The bleeding times of observation group were less than that of the control group(P<0.05).The scores of each dimension of the self-management ability scale increased in both groups(P<0.05),and the observation group were higher than the control group(P<0.05).The length of hospital stay and the total incidence of complications in the observation group were lower than those of the control group(P<0.05).There was no significant difference in the rate of rebleeding and mortality 3 months after operation between the two groups(P>0.05).Conclusion:Nursing based on multidisciplinary cooperation can reduce the number of bleeding and improve liver function in patients with liver cirrhosis with EGVB,while improving self-management ability and reducing the risk of complications.

关 键 词：肝硬化 食管-胃底静脉曲张破裂出血 多学科合作 自我管理 

分 类 号：R473.5[医药卫生—护理学]