[1]闭雪兰 黄雪霞.综合护理干预对肝硬化腹水的临床效果观察[J].大众科技,2018,20(10):51-53.
　Clinical Effect Observation of Comprehensive Nursing Intervention on Cirrhosis Ascites[J].Popular Science & Technology,2018,20(10):51-53.
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综合护理干预对肝硬化腹水的临床效果观察()
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《大众科技》[ISSN:1008-1151/CN:45-1235/N]

卷:
20
期数:
2018年10期
页码:
51-53
栏目:
医药与卫生
出版日期:
2018-10-20

文章信息/Info

Title:
Clinical Effect Observation of Comprehensive Nursing Intervention on Cirrhosis Ascites
作者:
闭雪兰 黄雪霞
（广西中医药大学第一附属医院，广西 南宁 530023）
关键词:
综合护理; 肝硬化腹水; 临床效果
Keywords:
comprehensive nursing;  cirrhosis ascites;  clinical effect
文献标志码:
A
摘要:
目的：观察综合护理干预对肝硬化腹水的临床效果。方法：将2016 年3 月至2017 年3 月在广西中医药大学第一附属医院肝病科住院的86 例肝硬化腹水患者作为研究对象，按照随机数字表随机分为观察组和对照组。对照组予西医内科常规治疗＋普通护理；观察组在对照组的基础上加用综合护理。观察两组生命质量评分、护理满意度及临床总有效率的情况。结果：观察组在生理功能、心理功能、社会功能、总体健康及健康自我认知评分均高于对照组，差异有统计学意义（P＜0.05）；观察组的护理满意度为95.7%，对照组为85.0%，差异具有统计学意义（P＜0.05）；观察组的临床总有效率为93.5%，对照组为80.0%，差异具有统计学意义（P＜0.05）。结论：治疗肝硬化腹水的过程中，给予综合护理，可以提高临床效果，改善预后。
Abstract:
Objective: To observe the clinical effect of comprehensive nursing intervention on cirrhosis ascites. Methods: 86 patients with liver cirrhosis ascites hospitalized in the First Affiliated Hospital of Guangxi University of Chinese Medicine from March 2016 to March 2017 were selected as the subjects, and randomly divided into the observation group and the control group according to the random number table. The control group was given conventional treatment and general nursing in the western medicine department, while the observation group was added comprehensive nursing except conventional treatment and general nursing. The scores of quality of life, nursing satisfaction and total clinical efficiency of the two groups were observed. Results: the scores of physiological function, psychological function, social function, general health and health self-cognition of the observation group were all higher than those of the control group, the difference was statistically significant (P＜0.05); the nursing satisfaction of the observation group was 95.7%, the control group was 85%, the observation group was superior to the control group, the difference was statistically significant (P＜0.05); the clinical total effective rate of the observation group was 93.5%, that of the control group was 80%, the difference was statistically significant (P＜0.05). Conclusion: In the treatment of cirrhosis ascites, comprehensive nursing could improve the clinical effect and the prognosis, which was worthy of further promotion in clinical practice.

参考文献/References:

【参考文献】 [1] 池肇春.实用临床肝病学[M].北京:中国医药科技出版社, 2000. [2] 李民.护理干预对肝硬化腹水并发症发生率的作用探讨[J].中国医药指南,2018,16(2):277-278. [3] 徐小元,丁惠国,李文刚,等.肝硬化腹水及相关并发症的诊疗指南[J].临床肝胆病志,2017,33(10):1847-1863. [4] 王岚,邹静.住院肝硬化患者焦虑抑郁水平与影响因素的调查[J].上海护理,2006(4):3-6. [5] Witte MH,Witte CL,Dumont AE.Progress in liver disease: physiological factors involved in the causation of cirrhotic ascites[J].Gastroenterology,1971,61(5):742-750. [6] Schrier RW.Pathogenesis of sodium and water retention in highoutput and low-output cardiac failure,nephrotic syndrome, cirrhosis,and preg-nancy(2).N Engl J Med 1988,319(6): 1127-1134. [7] Schrier RW,Arroyo V,Bernardi M,et al.Peripheral arterial vasodilation hypothesis:a proposal for the initiation of renal sodium and water retention in cirrhosis.Hepatology 1988, 8(4):1151-1157,41. [8] 范开春,程留芳.肝硬化腹水发生机制[J].中华肝脏病杂志,2003,11(3):180. [9] 周艳艳.护理干预对肝硬化腹水患者预后的影响[J].中国社区医师,2017,33(23):132-133. [10] 李琳.浅谈对大量肝硬化腹水患者进行心理护理的效果[J].世界最新医学信息文摘,2016,16(70):315,331. [11] 李晓琴.肝硬化大量腹腔积液病人的两种体位护理效果比较[J].全科护理,2013,11(18):1649. [12] 刘灵梅.饮食护理干预对肝硬化患者并发症发生率的影响分析[J].基层医学论坛,2018,22(9):1153-1154. [13] 段思荻.中西医结合护理干预对肝硬化腹水患者疗效的影响[J].河南医学研究,2017,26(4):728-729.

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备注/Memo

备注/Memo:
【收稿日期】2018-08-09 【基金项目】广西中医药民族医药科研项目（GZZC16-06）；2017 年广西中医药大学第一附属医院重点研发计划项目（2017ZD004）。 【作者简介】闭雪兰，女，广西中医药大学第一附属医院护士。 【通信作者】黄雪霞，女，广西中医药大学第一附属医院主任护师，研究方向为临床护理。
更新日期/Last Update: 2018-11-20